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1659303170
THEODORE G GANIATS
SAN DIEGO, CA
NPI
1659303170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G40435)
Enumeration Date
2006-07-07
Last Update Date
2007-07-08
Business Address
Dr. THEODORE G GANIATS M.D.
200 W ARBOR DR
SAN DIEGO, CA 92103-9001
Phone number: 858-534-6058
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Mailing Address
Dr. THEODORE G GANIATS M.D.
9500 GILMAN DR MAIL CODE 0628
LA JOLLA, CA 92093-5004
Phone number: 858-534-6058
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