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Individual

ANTHONY B HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
7773 UNIVERSITY AVE, LA MESA, CA 91941-4950
(619) 465-3000
(619) 465-3003
Mailing address
7773 UNIVERSITY AVE, LA MESA, CA 91941-4950
(619) 465-3000
(619) 465-3003

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC11743
CA
111NS0005X
Sports Physician Chiropractor
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DC11743
LICENSE
CA
Enumeration date
10/17/2006
Last updated
12/18/2007
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