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1639120090
KRIS J. VAN LOM
LA JOLLA, CA
NPI
1639120090
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA G56641)
Enumeration Date
2006-05-12
Last Update Date
2019-07-18
Business Address
KRIS J. VAN LOM M.D.
9898 GENESEE AVE
LA JOLLA, CA 92037-1205
Phone number: 858-626-7275
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Mailing Address
KRIS J. VAN LOM M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-626-7275
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