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1093707580
JOSE IVAN QUICENO
LA JOLLA, CA
NPI
1093707580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: CA A53660)
Enumeration Date
2005-08-19
Last Update Date
2007-07-08
Business Address
Dr. JOSE IVAN QUICENO M.D.
10666 N TORREY PINES RD SCMG DIVISION OF OPHTHALMOLOGY
LA JOLLA, CA 92037-1027
Phone number: 858-554-9108
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Mailing Address
Dr. JOSE IVAN QUICENO M.D.
865 3RD AVE SUITE 121
CHULA VISTA, CA 91911-1300
Phone number: 619-426-3400
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