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Individual

AARON C MICKAELIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3132 JEFFERSON ST, SAN DIEGO, CA 92110-4421
(619) 683-3100
Mailing address
1465 E LEXINGTON AVE, # 11 C, EL CAJON, CA 92019-1970
(619) 823-2144

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/26/2011
Last updated
08/26/2011
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