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1689106502
SHAAN LUDDER
SAN DIEGO, CA
NPI
1689106502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-03-30
Last Update Date
2021-07-14
Business Address
SHAAN LUDDER D.O.
200 W ARBOR DR # MC8466
SAN DIEGO, CA 92103-1911
Phone number: 619-543-7760
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Mailing Address
SHAAN LUDDER D.O.
610 DEL SOL DR APT 423
SAN DIEGO, CA 92108-3014
Phone number:
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