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1821284449
SHOTA GURCHUMELIDZE
LA MESA, CA
NPI
1821284449
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Professional Name
SHOTA P GURTCH
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A-101612)
Enumeration Date
2007-09-18
Last Update Date
2018-02-01
Business Address
Dr. SHOTA GURCHUMELIDZE M.D.
8875 LA MESA BLVD STE C
LA MESA, CA 91942-5434
Phone number: 619-668-8100
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Mailing Address
Dr. SHOTA GURCHUMELIDZE M.D.
11848 MIRO CIR
SAN DIEGO, CA 92131-3323
Phone number: 858-997-3161
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