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1336187079
JERROLD LEE PENSO
SAN DIEGO, CA
NPI
1336187079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G67126)
Enumeration Date
2006-06-03
Last Update Date
2007-07-08
Business Address
Dr. JERROLD LEE PENSO M.D.
2001 4TH AVE
SAN DIEGO, CA 92101-2303
Phone number: 619-446-1638
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Mailing Address
Dr. JERROLD LEE PENSO M.D.
1102 NEPTUNE AVE
ENCINITAS, CA 92024-1427
Phone number: 760-943-8636
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