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Organization
PACIFIC SIERRA MEDICAL
Active
Organization
PACIFIC SIERRA MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FOLUKE YETUNDE JOSE MD,MBA (DIRECTOR)
(858) 568-3454
Entity
Organization
Contact information
Practice address
14456 KENTFIELD PL, POWAY, CA 92064-3360
(858) 568-3454
Mailing address
1130 E PENNSYLVANIA AVE, ESCONDIDO, CA 92025-3209
(858) 568-3454
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/13/2008
Last updated
10/29/2008
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