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1083995609
TIMOTHY R DONNELLY
SAN DIEGO, CA
NPI
1083995609
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA pa12169)
Enumeration Date
2011-09-09
Last Update Date
2018-09-27
Business Address
Mr. TIMOTHY R DONNELLY P.A.
1501 5TH AVE SUITE 100
SAN DIEGO, CA 92101-3291
Phone number: 619-461-3717
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Mailing Address
Mr. TIMOTHY R DONNELLY P.A.
12285 SCRIPPS POWAY PKWY
POWAY, CA 92064-6149
Phone number: 951-708-6508
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