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1326332701
MICHELLE THERESE NOVALES
SAN DIEGO, CA
NPI
1326332701
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Former Name
MICHELLE THERESE NOVALES GOMOGDA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A13211)
Enumeration Date
2011-06-03
Last Update Date
2021-10-22
Business Address
MICHELLE THERESE NOVALES D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number: 619-516-7477
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Mailing Address
MICHELLE THERESE NOVALES D.O.
4405 VANDEVER AVE
SAN DIEGO, CA 92120-3315
Phone number:
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