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Organization
UNIVERSITY SQUARE MEDICAL CLINIC, INC,
Active
Organization
UNIVERSITY SQUARE MEDICAL CLINIC, INC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOANNA D NAWRSOKI-WOZNIAK M.D. (PRESIDENT)
(619) 698-4003
Entity
Organization
Contact information
Practice address
7339 EL CAJON BLVD STE I, LA MESA, CA 91942-7435
(619) 698-4003
(619) 698-4018
Mailing address
7339 EL CAJON BLVD STE I, LA MESA, CA 91942-7435
(619) 698-4003
(619) 698-4018
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A39627
CA
Other
Enumeration date
02/26/2007
Last updated
02/10/2015
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