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1942664883
BRANDAN MAYER BLACKWELL
SAN DIEGO, CA
NPI
1942664883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A151416)
Enumeration Date
2016-04-06
Last Update Date
2021-11-29
Business Address
BRANDAN MAYER BLACKWELL M.D
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
BRANDAN MAYER BLACKWELL M.D
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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