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1902289614
MIAN KOURESCH JAN
LA JOLLA, CA
NPI
1902289614
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-06-30
Last Update Date
2015-06-30
Business Address
MIAN KOURESCH JAN M.D.
9500 GILMAN DR #9116A
LA JOLLA, CA 92093-5004
Phone number: 858-534-4040
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Mailing Address
MIAN KOURESCH JAN M.D.
9500 GILMAN DR #9116A
LA JOLLA, CA 92093-5004
Phone number: 858-534-4040
Copy
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