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Individual

KARILYN SUZANNE HAUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
310 S HALCYON RD STE 106, ARROYO GRANDE, CA 93420
(805) 568-7800
Mailing address
PO BOX 16297, BEVERLY HILLS, CA 90209-2297
(805) 568-7800

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085003571
IL
363AM0700X
Medical Physician Assistant
Primary
54056
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1088882
NCCPA BOARD CERTIFICATION ID NUMBER
IL
Enumeration date
09/10/2009
Last updated
02/09/2022
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