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1992432249
MITCHELL LANGE
VISTA, CA
NPI
1992432249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363A00000X Physician Assistant
(Licence: CA PA61561)
Enumeration Date
2022-08-05
Last Update Date
2024-01-09
Business Address
MITCHELL LANGE
966 S SANTA FE AVE STE A
VISTA, CA 92084-6202
Phone number: 760-941-7050
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Mailing Address
MITCHELL LANGE
3764 LA COLUSA DR
SAN MARCOS, CA 92078-3610
Phone number:
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