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1801141163
JUSTIN ELI MALLIT
EL CAJON, CA
NPI
1801141163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA22408)
Enumeration Date
2012-07-23
Last Update Date
2023-09-26
Business Address
-- JUSTIN ELI MALLIT PA-C
855 E MADISON AVE
EL CAJON, CA 92020-3819
Phone number: 619-440-2751
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Mailing Address
-- JUSTIN ELI MALLIT PA-C
425 N DATE ST
ESCONDIDO, CA 92025-3413
Phone number: 760-737-6960
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