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Individual

MR. JEFFREY A. STAHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTC

Contact information

Practice address
7485 MISSION VALLEY RD, SUITE 104 A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 398-4989
Mailing address
7485 MISSION VALLEY RD, SUITE 104 A, SAN DIEGO, CA 92108-4422
(619) 291-8930
(619) 398-4989

Taxonomy

Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
081123
CA

Other

Enumeration date
01/16/2009
Last updated
01/16/2009
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