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1922401108
KRISTAN KAINE
SAN DIEGO, CA
NPI
1922401108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15533)
Enumeration Date
2014-10-02
Last Update Date
2020-05-07
Business Address
KRISTAN KAINE PA-C
11425 EL CAMINO REAL
SAN DIEGO, CA 92130-2045
Phone number: 858-794-6363
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Mailing Address
KRISTAN KAINE PA-C
763 G AVE
CORONADO, CA 92118-2178
Phone number: 619-300-2210
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