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1639335771
GERALDINE MERCEDES DODGE
SAN MARCOS, CA
NPI
1639335771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19831)
Enumeration Date
2008-07-29
Last Update Date
2015-02-13
Business Address
-- GERALDINE MERCEDES DODGE PA
150 VALPREDA RD
SAN MARCOS, CA 92069-2973
Phone number: 760-736-8747
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Mailing Address
-- GERALDINE MERCEDES DODGE PA
150 VALPREDA RD
SAN MARCOS, CA 92069-2973
Phone number: 760-736-8747
Copy
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