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1629096631
CHARLES VINCENT ETTARI
LA JOLLA, CA
NPI
1629096631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA G16786)
Enumeration Date
2006-07-17
Last Update Date
2019-11-23
Business Address
Dr. CHARLES VINCENT ETTARI M.D.
9888 GENESEE AVE
LA JOLLA, CA 92037-1205
Phone number: 619-277-9887
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Mailing Address
Dr. CHARLES VINCENT ETTARI M.D.
PO BOX 2216
DEL MAR, CA 92014-1516
Phone number: 619-277-9887
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