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1578070660
SAMANTHA A MONTAG
SAN DIEGO, CA
NPI
1578070660
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: 86034459)
Enumeration Date
2018-01-10
Last Update Date
2021-12-15
Business Address
SAMANTHA A MONTAG RD
3330 4TH AVE
SAN DIEGO, CA 92103-5704
Phone number: 480-227-0225
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Mailing Address
SAMANTHA A MONTAG RD
3555 MONAIR DR UNIT F
SAN DIEGO, CA 92117-5416
Phone number: 480-227-0225
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