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1033565965
PHILLIP SO
SAN DIEGO, CA
NPI
1033565965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-05-10
Last Update Date
2016-05-10
Business Address
-- PHILLIP SO
5454 EL CAJON BLVD
SAN DIEGO, CA 92115-3621
Phone number: 619-515-2400
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Mailing Address
-- PHILLIP SO
5454 EL CAJON BLVD
SAN DIEGO, CA 92115-3621
Phone number: 619-515-2400
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