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1063876688
ALEXANDER SHAFT
VISTA, CA
NPI
1063876688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A153556)
Enumeration Date
2016-04-09
Last Update Date
2023-08-24
Business Address
ALEXANDER SHAFT
130 CEDAR RD
VISTA, CA 92083-5102
Phone number: 760-806-5431
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Mailing Address
ALEXANDER SHAFT
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 760-806-5431
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