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1770981888
MATTHEW THOMAS HENNIGAN
SAN DIEGO, CA
NPI
1770981888
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA09532)
Enumeration Date
2014-12-05
Last Update Date
2020-10-27
Business Address
MATTHEW THOMAS HENNIGAN
7590 MIRAMAR RD STE C
SAN DIEGO, CA 92126-4232
Phone number: 858-549-4255
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Mailing Address
MATTHEW THOMAS HENNIGAN
7590 MIRAMAR RD STE C
SAN DIEGO, CA 92126-4232
Phone number: 858-549-4255
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