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1609403732
MICKEY ELLIS ABRAHAM
LA JOLLA, CA
NPI
1609403732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-26
Last Update Date
2021-08-13
Business Address
Dr. MICKEY ELLIS ABRAHAM MD, MS
9500 GILMAN DR
LA JOLLA, CA 92093-5004
Phone number: 619-543-5540
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Mailing Address
Dr. MICKEY ELLIS ABRAHAM MD, MS
9500 GILMAN DR
LA JOLLA, CA 92093-5004
Phone number:
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