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1205011368
JENNA LAVINA
SAN DIEGO, CA
NPI
1205011368
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A97377)
Enumeration Date
2008-01-07
Last Update Date
2021-10-14
Business Address
JENNA LAVINA
4077 FIFTH AVE # MER35
SAN DIEGO, CA 92103-2105
Phone number: 619-260-7220
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Mailing Address
JENNA LAVINA
1270 CLEVELAND AVE UNIT 229
SAN DIEGO, CA 92103-7338
Phone number:
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