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1881608123
KENT DIVELEY
SAN DIEGO, CA
NPI
1881608123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: CA C42452)
Enumeration Date
2006-07-29
Last Update Date
2007-12-05
Business Address
-- KENT DIVELEY M.D.
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
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Mailing Address
-- KENT DIVELEY M.D.
3626 RUFFIN RD
SAN DIEGO, CA 92123-1810
Phone number: 858-565-9666
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