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1851017305
SOPHIA BILBAO
COSTA MESA, CA
NPI
1851017305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 62300)
Enumeration Date
2022-10-17
Last Update Date
2024-09-05
Business Address
SOPHIA BILBAO
3400 AVENUE OF THE ARTS APT C216
COSTA MESA, CA 92626-7142
Phone number: 510-590-6198
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Mailing Address
SOPHIA BILBAO
3400 AVENUE OF THE ARTS APT C216
COSTA MESA, CA 92626-7142
Phone number: 510-590-6198
Copy
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