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Individual

MR. BOB KIGAI MUBALLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
1250 MORENA BLVD FL 2, SAN DIEGO, CA 92110-3815
(619) 692-8715
Mailing address
6160 MISSION GORGE RD STE 108, SAN DIEGO, CA 92120-3425
(619) 692-8715
(619) 481-5219

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
03/21/2012
Last updated
02/09/2021
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