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1255183489
ANGELICA CHAVEZ
SAN DIEGO, CA
NPI
1255183489
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2024-04-02
Last Update Date
2024-04-02
Business Address
ANGELICA CHAVEZ IDC
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-6400
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Mailing Address
ANGELICA CHAVEZ IDC
3665 ASH ST UNIT 16
SAN DIEGO, CA 92105-5942
Phone number: 760-835-0939
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