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Individual

BONNIE JEAN GRIFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
117 PIRIE RD, SUITE D, OJAI, CA 93023-3166
(805) 646-7246
(805) 646-8936
Mailing address
117 PIRIE RD, SUITE D, OJAI, CA 93023-3166
(805) 646-7246
(805) 646-8936

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
16572
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
951683892
OTHER INSURANCE
CA
05
RHM08608F
CA
05
RHM08609F
CA
05
RHM18553H
CA
05
ZZT40394F
CA
Enumeration date
10/12/2006
Last updated
03/27/2014
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