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Individual
TERRI D PAGANO
Active
Individual
TERRI D PAGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18304
CA
363AM0700X
Medical Physician Assistant
PA18304
CA
363AS0400X
Surgical Physician Assistant
PA18304
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1071096
NATL COMMISSION ON CERTIF
—
Enumeration date
08/07/2006
Last updated
03/07/2023
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