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Individual

MRS. SLOANE ELAINE SALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
3325 SENN RD, SUITE 7, SAN DIEGO, CA 92136-5029
(619) 556-0139
Mailing address
3325 SENN RD, SUITE 7, SAN DIEGO, CA 92136-5029

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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