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Individual

KHALIL KHALIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126-2364
(858) 695-2211
Mailing address
10717 CAMINO RUIZ STE 207, SAN DIEGO, CA 92126-2364

Taxonomy

Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
41890
CA

Other

Enumeration date
03/28/2021
Last updated
03/28/2021
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