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1821689282
MADISYN CHAVEZ
SAN DIEGO, CA
NPI
1821689282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: CA 2000035929)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
MADISYN CHAVEZ LAT, ATC
5500 CAMPANILE DR
SAN DIEGO, CA 92182-0001
Phone number: 619-594-7651
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Mailing Address
MADISYN CHAVEZ LAT, ATC
5500 CAMPANILE DR
SAN DIEGO, CA 92182-0001
Phone number: 619-594-7651
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