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Individual

MR. JULIO OVANDO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCP

Contact information

Practice address
3174 DENVER ST, SAN DIEGO, CA 92117-6141
(530) 351-1952
Mailing address
3174 DENVER ST, SAN DIEGO, CA 92117-6141
(530) 351-1952

Taxonomy

Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
830061
CA

Other

Enumeration date
11/04/2010
Last updated
11/04/2010
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