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1366105074
JUSTIN MICHAEL ANDERSON
SAN DIEGO, CA
NPI
1366105074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA60229)
Enumeration Date
2021-10-19
Last Update Date
2022-02-18
Business Address
JUSTIN MICHAEL ANDERSON PA-C
3030 CHILDRENS WAY
SAN DIEGO, CA 92123-4232
Phone number: 858-966-6789
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Mailing Address
JUSTIN MICHAEL ANDERSON PA-C
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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