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1750028585
TANNER MICHAEL DIEBOLD
SAN DIEGO, CA
NPI
1750028585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 36330)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
TANNER MICHAEL DIEBOLD DC
2816 ADAMS AVE
SAN DIEGO, CA 92116-1401
Phone number: 909-767-9896
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Mailing Address
TANNER MICHAEL DIEBOLD DC
4531 PARK BLVD
SAN DIEGO, CA 92116-2644
Phone number: 909-767-9896
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