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1013769223
CHRISTIAN QUISENBERRY
SAN DIEGO, CA
NPI
1013769223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
CHRISTIAN QUISENBERRY
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 916-872-3978
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Mailing Address
CHRISTIAN QUISENBERRY
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number:
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