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1932573250
AMY SUPERNAW
SAN DIEGO, CA
NPI
1932573250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 53038)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
Miss AMY SUPERNAW PA-C
4575 COLLEGE AVE
SAN DIEGO, CA 92115-4011
Phone number: 888-743-7526
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Mailing Address
Miss AMY SUPERNAW PA-C
1075 CAMINO DEL RIO S
SAN DIEGO, CA 92108-3538
Phone number:
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