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1053469080
MELISSA PROVINCE BENNETT
SAN DIEGO, CA
NPI
1053469080
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A92274)
Enumeration Date
2007-01-08
Last Update Date
2021-11-29
Business Address
MELISSA PROVINCE BENNETT MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
MELISSA PROVINCE BENNETT MD
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
Copy
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