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1215078399
ALAN KRYSTAL
SAN MARCOS, CA
NPI
1215078399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G74558)
Enumeration Date
2007-02-09
Last Update Date
2011-07-20
Business Address
-- ALAN KRYSTAL
1582 W SAN MARCOS BLVD STE 100
SAN MARCOS, CA 92078-4081
Phone number: 760-591-9975
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Mailing Address
-- ALAN KRYSTAL
1582 W SAN MARCOS BLVD STE 100
SAN MARCOS, CA 92078-4081
Phone number: 760-591-9975
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