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1184306805
SPACIENDA
SAN DIEGO, CA
NPI
1184306805
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Entity Type
Organization
Authorized Contact
REBEKAH ABRAHIM
Owner
619-389-2047
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2023-08-02
Last Update Date
2023-08-02
Business Address
SPACIENDA
5222 BALBOA AVE STE 43
SAN DIEGO, CA 92117-6956
Phone number: 619-389-2047
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Mailing Address
SPACIENDA
975 THERMAL AVE
SAN DIEGO, CA 92154-1924
Phone number: 619-261-3434
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