NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1689824203
MDRS SPINE & SPORT, INC
3760 CONVOY ST STE 101
SAN DIEGO
CA
921113743
1114295151
PARKER
JENNIFER
LYNNE
41715 WINCHESTER RD
TEMECULA
CA
925904808
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