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Organization
MISSION MEDICAL SUPPLY
Active
Organization
MISSION MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIMI DO (OWNER)
(619) 229-9597
Entity
Organization
Contact information
Practice address
4444 EL CAJON BLVD, 03, SAN DIEGO, CA 92115-4312
(619) 229-9597
(619) 229-9594
Mailing address
4444 EL CAJON BLVD, 03, SAN DIEGO, CA 92115-4312
(619) 229-9597
(619) 229-9594
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
200901610039
CA
Other
Enumeration date
08/05/2009
Last updated
08/21/2012
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