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1063765782
MARILYN JANE GENNETEN SCOFFIN
SAN DIEGO, CA
NPI
1063765782
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Former Name
MARILYN JANE GENNETTEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA 2377)
Enumeration Date
2012-10-18
Last Update Date
2012-10-18
Business Address
-- MARILYN JANE GENNETEN SCOFFIN
11325 BELLADONNA WAY
SAN DIEGO, CA 92131-2923
Phone number: 619-316-7077
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Mailing Address
-- MARILYN JANE GENNETEN SCOFFIN
11325 BELLADONNA WAY
SAN DIEGO, CA 92131-2923
Phone number: 619-316-7077
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