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1710656103
ALEXIS ANN DETKI
SAN DIEGO, CA
NPI
1710656103
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-09-08
Last Update Date
2021-09-10
Business Address
ALEXIS ANN DETKI
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-276-1176
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Mailing Address
ALEXIS ANN DETKI
3132 JEFFERSON ST
SAN DIEGO, CA 92110-4421
Phone number: 619-683-3100
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