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1154050904
SHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION
LA MESA, CA
NPI
1154050904
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Entity Type
Organization
Authorized Contact
SHOTA GURCHUMELIDZE
Physician
858-997-3161
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2022-06-07
Last Update Date
2023-08-31
Business Address
SHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION
8875 LA MESA BLVD STE C
LA MESA, CA 91942-5434
Phone number: 619-668-8100
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Mailing Address
SHOTA GURTCH, M.D., INC. A PROFESSIONAL CORPORATION
8875 LA MESA BLVD STE C
LA MESA, CA 91942-5434
Phone number: 619-668-8100
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