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1083885107
PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC
LA JOLLA, CA
NPI
1083885107
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Entity Type
Organization
Authorized Contact
MARY K WILDE
President
858-623-2345
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G65602)
Enumeration Date
2008-03-17
Last Update Date
2008-03-17
Business Address
PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC
9850 GENESEE AVE 510
LA JOLLA, CA 92037-1224
Phone number: 858-623-2345
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Mailing Address
PACIFIC SURGICAL SPECIALISTS MEDICAL GROUP, INC
9850 GENESEE AVE 510
LA JOLLA, CA 92037-1224
Phone number: 858-623-2345
Copy
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