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1043074438
JUSTIN JAMES JUDILLA
SAN DIEGO, CA
NPI
1043074438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 64059)
Enumeration Date
2024-02-07
Last Update Date
2024-06-07
Business Address
JUSTIN JAMES JUDILLA PA-C
5651 COPLEY DR
SAN DIEGO, CA 92111-7903
Phone number: 858-541-5400
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Mailing Address
JUSTIN JAMES JUDILLA PA-C
5651 COPLEY DR
SAN DIEGO, CA 92111-7903
Phone number: 858-541-5400
Copy
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