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1255969143
AMBER RENEE DEBARGE
SAN DIEGO, CA
NPI
1255969143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA 146968)
Enumeration Date
2020-03-28
Last Update Date
2020-03-28
Business Address
AMBER RENEE DEBARGE YA ID 146968
2918 HAVASUPAI AVE
SAN DIEGO, CA 92117-1641
Phone number: 775-224-6043
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Mailing Address
AMBER RENEE DEBARGE YA ID 146968
2918 HAVASUPAI AVE
SAN DIEGO, CA 92117-1641
Phone number: 775-224-6043
Copy
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