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1639503600
MARK TRISTAN FUCINARI
SAN DIEGO, CA
NPI
1639503600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Enumeration Date
2013-08-27
Last Update Date
2014-07-25
Business Address
-- MARK TRISTAN FUCINARI CNIM
4653 CARMEL MOUNTAIN RD STE 308-201
SAN DIEGO, CA 92130-6650
Phone number: 619-955-8494
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Mailing Address
-- MARK TRISTAN FUCINARI CNIM
4653 CARMEL MOUNTAIN RD STE 308-201
SAN DIEGO, CA 92130-6650
Phone number: 619-955-8494
Copy
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