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1720287170
STEPHANIE DAWN BLODGETT
MISSION VIEJO, CA
NPI
1720287170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA19213)
Enumeration Date
2007-07-16
Last Update Date
2021-11-30
Business Address
-- STEPHANIE DAWN BLODGETT PA-C
23962 ALICIA PKWY STE I-1
MISSION VIEJO, CA 92691-3940
Phone number: 949-452-7699
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Mailing Address
-- STEPHANIE DAWN BLODGETT PA-C
2100 POWELL ST SUITE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2673
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