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1962635763
DAVID BENJAMIN TEVIS LA VINE
SAN DIEGO, CA
NPI
1962635763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A113694)
Enumeration Date
2009-08-26
Last Update Date
2016-07-21
Business Address
Dr. DAVID BENJAMIN TEVIS LA VINE M.D.
3811 VALLEY CENTRE DR
SAN DIEGO, CA 92130-3318
Phone number: 858-764-3100
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Mailing Address
Dr. DAVID BENJAMIN TEVIS LA VINE M.D.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-764-3100
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