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1477658037
TANJA V. CROCKETT
SAN DIEGO, CA
NPI
1477658037
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A75352)
Enumeration Date
2006-09-14
Last Update Date
2016-12-07
Business Address
Dr. TANJA V. CROCKETT M.D.
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-764-9081
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Mailing Address
Dr. TANJA V. CROCKETT M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-764-9081
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