CASEY R VAN OMMERING

SAN DIEGO, CA
NPI1215432570
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2018-03-28
Last Update Date2018-03-28
Business Address
CASEY R VAN OMMERING
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
Mailing Address
CASEY R VAN OMMERING
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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