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1689212482
MEGHAN LICCIARDELLO
SACRAMENTO, CA
NPI
1689212482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2019-12-12
Last Update Date
2021-10-01
Business Address
MEGHAN LICCIARDELLO PA
1451 RIVER PARK DR STE 260
SACRAMENTO, CA 95815-4504
Phone number: 650-826-2945
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Mailing Address
MEGHAN LICCIARDELLO PA
300 HARDING BLVD STE 213
ROSEVILLE, CA 95678-2474
Phone number: 916-390-1347
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