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SAN DIEGO, CA
NPI1326801259
Entity TypeOrganization
Authorized ContactELLY HANN
Owner Manager
619-517-8748
Organization Subpart ?No
Primary Taxonomy207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date2024-02-02
Last Update Date2024-02-02
Business Address
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3706 RUFFIN RD # 129
SAN DIEGO, CA 92123-1812
Phone number: 858-587-1822
Mailing Address
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3604 ALEXIA PL
SAN DIEGO, CA 92116-2235
Phone number: 619-517-8748