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1609335009
DOUGLAS CONNOR TRASK
SAN DIEGO, CA
NPI
1609335009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0101270234)
Enumeration Date
2019-03-15
Last Update Date
2024-04-11
Business Address
DOUGLAS CONNOR TRASK
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7200
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Mailing Address
DOUGLAS CONNOR TRASK
34800 BOB WILSON DR
SAN DIEGO, CA 92134-1098
Phone number: 619-532-7200
Copy
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