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Individual

JULIE ALISON CRAGHOLM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
333 OCONNOR DR, SAN JOSE, CA 95128-1623
(408) 297-3484
Mailing address
333 OCONNOR DR, SAN JOSE, CA 95128-1623
(408) 297-3484

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA20175
CA
363AM0700X
Medical Physician Assistant
PA20175
CA
363AS0400X
Surgical Physician Assistant
Primary
PA20175
CA

Other

Enumeration date
03/09/2009
Last updated
03/09/2009
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