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Individual

CAROL LYNN HASTANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1111 W CHASE AVE, EL CAJON, CA 92020-5710
(619) 515-2499
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 906-4564

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A110192
CA

Other

Enumeration date
08/14/2008
Last updated
03/17/2018
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