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1992307078
ANN VAN BOURG
SAN DIEGO, CA
NPI
1992307078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-11-12
Last Update Date
2022-06-22
Business Address
ANN VAN BOURG PA
6655 ALVARADO RD
SAN DIEGO, CA 92120-5208
Phone number: 619-287-3270
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Mailing Address
ANN VAN BOURG PA
13727 CONDESA DR
DEL MAR, CA 92014-3301
Phone number: 760-331-7425
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