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1144974759
STEPHEN R VILLANUEVA
SAN DIEGO, CA
NPI
1144974759
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA 51678)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
STEPHEN R VILLANUEVA
4060 FOURTH AVE STE 206
SAN DIEGO, CA 92103-2120
Phone number: 619-299-5246
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Mailing Address
STEPHEN R VILLANUEVA
719 DIAMOND DR
CHULA VISTA, CA 91911-6715
Phone number: 619-636-0525
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