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1811450992
PHILIPPUS JACOBUS VAN NIEKERK
SAN DIEGO, CA
NPI
1811450992
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-04-07
Last Update Date
2021-12-03
Business Address
PHILIPPUS JACOBUS VAN NIEKERK DO
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111-1003
Phone number: 858-573-6400
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Mailing Address
PHILIPPUS JACOBUS VAN NIEKERK DO
7060 CLAIREMONT MESA BLVD
SAN DIEGO, CA 92111-1003
Phone number:
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