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1790912103
ANGELA ISKANDAR ANAK-AGUNG-GEDE
CHULA VISTA, CA
NPI
1790912103
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Former Name
ANGELA GRACIA ISKANDAR
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA 19998)
Enumeration Date
2009-06-12
Last Update Date
2011-09-20
Business Address
-- ANGELA ISKANDAR ANAK-AGUNG-GEDE PA
480 4TH AVENUE SUITE 307
CHULA VISTA, CA 91910
Phone number: 619-426-3240
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Mailing Address
-- ANGELA ISKANDAR ANAK-AGUNG-GEDE PA
480 4TH AVENUE SUITE 307
CHULA VISTA, CA 91910
Phone number: 619-426-3240
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