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Organization
SOUTHWEST & ASSOCIATES
Active
Organization
SOUTHWEST & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN KELLY (GENERAL COUNCIL COO)
(619) 295-4400
Entity
Organization
Contact information
Practice address
1660 HOTEL CIR N STE 302, SAN DIEGO, CA 92108-2803
(619) 295-4400
(619) 297-3753
Mailing address
1660 HOTEL CIR N STE 302, SAN DIEGO, CA 92108-2803
(619) 295-4400
(619) 297-3753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/30/2007
Last updated
08/22/2020
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