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Individual

MONICA GABLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2929 HEALTH CENTER DR., SAN DIEGO, CA 92123-7741
(858) 939-6504
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 939-6505

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1092505
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1092505
PRIMARY CARE
CA
Enumeration date
06/17/2010
Last updated
12/12/2017
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