MIKE SCOTT WASILISIN

SAN DIEGO, CA
NPI1194956102
Professional NameMIKE SCOTT WASILISIN
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111NR0400X 
(Licence: CA  31327)
Enumeration Date2009-08-07
Last Update Date2009-08-07
Business Address
-- MIKE SCOTT WASILISIN D.C.
444 W C ST
SAN DIEGO, CA 92101-3533
Phone number: 619-232-4030
Mailing Address
-- MIKE SCOTT WASILISIN D.C.
6215 EL CAMINO REAL SUITE 100
CARLSBAD, CA 92009-1604
Phone number: 760-603-7900
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