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Organization

HHSA COUNTY OF SAN DIEGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE COON PHN (PUBLIC HEALTH NURSE)
(619) 692-8293
Entity
Organization

Contact information

Practice address
3851 ROSECRANS ST, SUITE S (STD CLINIC), SAN DIEGO, CA 92110-3134
(619) 692-8865
(619) 692-8543
Mailing address
3851 ROSECRANS ST, SUITE S (STD CLINIC), SAN DIEGO, CA 92110-3134
(619) 692-8865
(619) 692-8543

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
08/29/2011
Last updated
08/29/2011
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