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1104378306
CARLTON ANTHONYSHAWNIE DYKE
SAN DIEGO, CA
NPI
1104378306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2016-11-04
Last Update Date
2023-02-22
Business Address
Mr. CARLTON ANTHONYSHAWNIE DYKE
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
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Mailing Address
Mr. CARLTON ANTHONYSHAWNIE DYKE
34101 FARENHOLT AVE BLDG 14
SAN DIEGO, CA 92134-5291
Phone number: 619-532-7968
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