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PAUL PROVENCIO
Social Worker
NPI: 1245562743Individual
Specialties, Licenses & Credentials
Social WorkerPrimary
Social Worker
Code: 104100000X
23582(CA)
Contact & Hours
- Address
- 9400 RUFFIN CT
SAN DIEGO, CA 92123 - Phone
- (858) 514-4867
Quick Facts
- NPI
- 1245562743
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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