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1619454428
STACIE KARENE TAYLOR
SAN DIEGO, CA
NPI
1619454428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA14581)
Enumeration Date
2018-07-24
Last Update Date
2018-07-24
Business Address
Miss STACIE KARENE TAYLOR PA-C
446 ALTA RD STE 6100
SAN DIEGO, CA 92158-0001
Phone number: 619-671-6546
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Mailing Address
Miss STACIE KARENE TAYLOR PA-C
405 SANIBELLE CIR UNIT 28
CHULA VISTA, CA 91910-7546
Phone number: 619-405-4222
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