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1982072682
KRISTIN MICKELSON
UPLAND, CA
NPI
1982072682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2015-09-11
Last Update Date
2015-10-22
Business Address
-- KRISTIN MICKELSON PA-C
585 N MOUNTAIN AVE SUITE A
UPLAND, CA 91786-8516
Phone number: 909-946-2228
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Mailing Address
-- KRISTIN MICKELSON PA-C
840 TOWNE CENTER DR
POMONA, CA 91767-5900
Phone number: 909-398-1550
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