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1760416572
SHELLEY DOLKAS LICKL
NEWPORT BEACH, CA
NPI
1760416572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA17133)
Enumeration Date
2006-07-10
Last Update Date
2010-06-18
Business Address
-- SHELLEY DOLKAS LICKL PA
1 HOAG DR ECU
NEWPORT BEACH, CA 92663-4162
Phone number: 949-764-5689
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Mailing Address
-- SHELLEY DOLKAS LICKL PA
PO BOX 5445
ORANGE, CA 92863-5445
Phone number: 714-637-4307
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