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1740618115
GEORGE TIEDEMAN
LA JOLLA, CA
NPI
1740618115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CA A25115)
Enumeration Date
2013-10-23
Last Update Date
2013-10-23
Business Address
Dr. GEORGE TIEDEMAN M.D.
849 COAST BLVD # CM 212
LA JOLLA, CA 92037-4223
Phone number: 858-456-4183
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Mailing Address
Dr. GEORGE TIEDEMAN M.D.
849 COAST BLVD # CM 212
LA JOLLA, CA 92037-4223
Phone number: 858-456-4183
Copy
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