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1821105776
JOANN ANTOINETTE DEASY
SAN MATEO, CA
NPI
1821105776
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA11096)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
-- JOANN ANTOINETTE DEASY P.A-C
222 W 39TH AVE
SAN MATEO, CA 94403-4364
Phone number: 650-573-2671
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Mailing Address
-- JOANN ANTOINETTE DEASY P.A-C
2100 POWELL ST STE 900
EMERYVILLE, CA 94608-1826
Phone number: 510-350-2600
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