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1780870907
JERRY LEE BERNEATHY
SAN DIEGO, CA
NPI
1780870907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA 11853)
Enumeration Date
2007-09-20
Last Update Date
2007-09-21
Business Address
-- JERRY LEE BERNEATHY D.C
1707 GRAND AVE
SAN DIEGO, CA 92109-4469
Phone number: 858-273-6700
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Mailing Address
-- JERRY LEE BERNEATHY D.C
1707 GRAND AVE
SAN DIEGO, CA 92109-4469
Phone number: 858-273-6700
Copy
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