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1871958942
KAITLEN ELIZABETH KOLODGE
CHULA VISTA, CA
NPI
1871958942
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Former Name
KAITLEN LAINE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53094)
Enumeration Date
2015-12-16
Last Update Date
2022-07-20
Business Address
Ms. KAITLEN ELIZABETH KOLODGE MS, PA-C
955 LANE AVE STE 200
CHULA VISTA, CA 91914-4525
Phone number: 619-421-3400
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Mailing Address
Ms. KAITLEN ELIZABETH KOLODGE MS, PA-C
4445 EASTGATE MALL STE 105
SAN DIEGO, CA 92121-1979
Phone number: 858-357-9450
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