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1831612514
JESSICA BURGHART QUACKENBUSH
SAN DIEGO, CA
NPI
1831612514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: CA PT292990)
Enumeration Date
2017-07-25
Last Update Date
2017-07-25
Business Address
JESSICA BURGHART QUACKENBUSH DPT
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number: 858-966-1800
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Mailing Address
JESSICA BURGHART QUACKENBUSH DPT
3020 CHILDRENS WAY # MC5068
SAN DIEGO, CA 92123-4223
Phone number:
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