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1639148828
COLLIN TEGUH
SAN DIEGO, CA
NPI
1639148828
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A6332)
Enumeration Date
2006-03-17
Last Update Date
2020-11-13
Business Address
Dr. COLLIN TEGUH D.O.
2045 ADAMS AVE
SAN DIEGO, CA 92116-1212
Phone number: 619-281-8988
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Mailing Address
Dr. COLLIN TEGUH D.O.
2045 ADAMS AVE
SAN DIEGO, CA 92116-1212
Phone number: 619-281-8988
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