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1649812090
JENNA LEE BARRACLOUGH
PLACERVILLE, CA
NPI
1649812090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 57130)
Enumeration Date
2019-10-16
Last Update Date
2023-11-14
Business Address
JENNA LEE BARRACLOUGH PA-C
4300 GOLDEN CENTER DR STE C
PLACERVILLE, CA 95667-6278
Phone number: 530-344-2070
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Mailing Address
JENNA LEE BARRACLOUGH PA-C
4300 GOLDEN CENTER DR STE C
PLACERVILLE, CA 95667-6278
Phone number: 530-344-2070
Copy
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