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1033667027
J ROTSEN EVARISTO
LA JOLLA, CA
NPI
1033667027
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 456)
Enumeration Date
2016-09-19
Last Update Date
2016-09-19
Business Address
-- J ROTSEN EVARISTO M.D.
9415 CAMPUS POINT DR
LA JOLLA, CA 92093-1350
Phone number: 858-534-2020
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Mailing Address
-- J ROTSEN EVARISTO M.D.
9415 CAMPUS POINT DR
LA JOLLA, CA 92093-1350
Phone number: 858-534-2020
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