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1871785899
SO-CAL PROVIDERS MEDICAL GROUP, INC.
LA JOLLA, CA
NPI
1871785899
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Entity Type
Organization
Authorized Contact
DONALD LYLE BUEHLER
President
858-455-6330
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-08-14
Last Update Date
2022-07-21
Business Address
SO-CAL PROVIDERS MEDICAL GROUP, INC.
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037-1224
Phone number: 858-455-6330
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Mailing Address
SO-CAL PROVIDERS MEDICAL GROUP, INC.
9850 GENESEE AVE STE 560
LA JOLLA, CA 92037-1224
Phone number: 858-455-6330
Copy
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