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1942728795
STACEY VASQUEZ
ANAHEIM, CA
NPI
1942728795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 54832)
Enumeration Date
2017-08-31
Last Update Date
2021-12-03
Business Address
Mrs. STACEY VASQUEZ PA-C
1311 S ANAHEIM BLVD
ANAHEIM, CA 92805-6202
Phone number: 714-635-6400
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Mailing Address
Mrs. STACEY VASQUEZ PA-C
PO BOX 532
GARDEN GROVE, CA 92842-0532
Phone number: 714-679-3013
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