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1467644187
SCOTT LEE BLUCK
LA MESA, CA
NPI
1467644187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A9096)
Enumeration Date
2007-08-16
Last Update Date
2021-12-01
Business Address
Dr. SCOTT LEE BLUCK D.O.
8010 PARKWAY DR DEPT OF FAMILY MEDICINE
LA MESA, CA 91942-2104
Phone number: 619-528-6111
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Mailing Address
Dr. SCOTT LEE BLUCK D.O.
855 BEECH ST APT 207
SAN DIEGO, CA 92101-2885
Phone number: 619-992-5446
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