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1588041065
CONSUELO ANN ANAYA
LA JOLLA, CA
NPI
1588041065
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Former Name
CONSUELO ANN MARTINEZ
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207PS0010X Emergency Medicine Sports Medicine
(Licence: CA 020002224)
Enumeration Date
2015-05-04
Last Update Date
2021-01-28
Business Address
MRS. CONSUELO ANN ANAYA MS, ATC
7607 LA JOLLA BLVD
LA JOLLA, CA 92037-4703
Phone number: 858-459-4021
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Mailing Address
MRS. CONSUELO ANN ANAYA MS, ATC
9916 VIA CUENCA
SAN DIEGO, CA 92129-2743
Phone number: 623-680-0089
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