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Individual

MR. ELFADIL MAWIA HABBANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4027 1/2 PARK BLVD, SAN DIEGO, CA 92103-2619
(619) 381-1900
Mailing address
4027 1/2 PARK BLVD, SAN DIEGO, CA 92103-2619
(619) 381-1900

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
04/01/2009
Last updated
04/01/2009
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