STEPHEN M. DAQUINO, DO; INC
Osteopathic Medicine at Bernardo Center Dr, San Diego, CA

License number
California 20A8442
Category
Osteopathic Medicine
Type
Sports Medicine
Owner
Name: STEPHEN MICHAEL DAQUINO D.O.
Title: PRESIDENT
Phone: (858) 676-1166
Address
Address
16730 Bernardo Center Dr, San Diego, CA 92128
National Provider ID: 1003164385
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Stephen M. Daquino, DO; Inc

San Diego, CA

Registration:
May 30, 2012
Addresses:
17757 Black Granite Dr, San Diego, CA 92127
17557 Black Granite Dr, San Diego, CA 92127
State ID:
03480664
Business type:
Articles of Incorporation
President:
Stephen Michael Daquino (President)

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