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1194956102
MIKE SCOTT WASILISIN
SAN DIEGO, CA
NPI
1194956102
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Professional Name
MIKE SCOTT WASILISIN
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111NR0400X Chiropractor, Rehabilitation
(Licence: CA 31327)
Enumeration Date
2009-08-07
Last Update Date
2009-08-07
Business Address
-- MIKE SCOTT WASILISIN D.C.
444 W C ST
SAN DIEGO, CA 92101-3533
Phone number: 619-232-4030
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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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