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1124039052
SAMUEL O ETCHIE
LA MESA, CA
NPI
1124039052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A53857)
Enumeration Date
2006-08-09
Last Update Date
2018-08-23
Business Address
-- SAMUEL O ETCHIE M.D.
7200 PARKWAY DR STE 113
LA MESA, CA 91942-1534
Phone number: 619-337-0455
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Mailing Address
-- SAMUEL O ETCHIE M.D.
7770 REGENTS RD # 130
SAN DIEGO, CA 92122-1937
Phone number: 619-337-0455
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