1831208826

Everything you always wanted to know about REGENTS OF THE UNIVERSITY OF CALIFONRIA - UCSD MEDICAL GROUP 5 UCSD DEPT OF PATHOLOGY MR. CAMPBELL JOHN DUNCAN but were afraid to ask.

REGENTS OF THE UNIVERSITY OF CALIFONRIA - UCSD MEDICAL GROUP 5 UCSD DEPT OF PATHOLOGY MR. CAMPBELL JOHN DUNCAN

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Organization Name Other Organization Name Type Code Other Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official First Name
REGENTS OF THE UNIVERSITY OF CALIFONRIA - UCSD MEDICAL GROUP 5 UCSD DEPT OF PATHOLOGY MR. CAMPBELL JOHN DUNCAN
Gender:
none
Enumeration date:
2006-08-30
Last update date:
2016-04-20
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
CQ4024 Other RAILROAD MEDICARE none
364823303 Other US DEPT OF LABOR none
364823305 Other US DEPT OF LABOR none
364823306 Other US DEPT OF LABOR none
364823307 Other US DEPT OF LABOR none
72 Other RYAN WHITE CA
HW7833 Medicare PIN none CA
13933 Other CMS CA
ZZZ26234Z Other BLUE SHIELD GRP none
364823300 Other US DEPT OF LABOR none
364823301 Other US DEPT OF LABOR none
CGP016905 Other GHPP CA
GR0013570 Other CALOPTIMA CA
GR0013570 Medicaid none CA
364823304 Other US DEPT OF LABOR none
364823308 Other US DEPT OF LABOR none
364823302 Other US DEPT OF LABOR none
364823310 Other US DEPT OF LABOR none

Taxonomies

Taxonomy State License Number Primary?
207ZB0001X Blood Banking & Transfusion Medicine none none N
207ZC0500X Cytopathology none none N
207ZD0900X Dermatopathology none none N
207ZF0201X Forensic Pathology none none N
207ZH0000X Hematology none none N
207ZI0100X Immunopathology none none N
207ZM0300X Medical Microbiology none none N
207ZN0500X Neuropathology none none N
207ZP0007X Molecular Genetic Pathology none none N
207ZP0101X Anatomic Pathology none none N
207ZP0102X Anatomic Pathology & Clinical Pathology none none Y
207ZP0104X Chemical Pathology none none N
207ZP0105X Clinical Pathology/Laboratory Medicine none none N
207ZP0213X Pediatric Pathology none none N

Phone Numbers

Type Number
Mailing Address Fax Number 6195433183
Practice Location Address Fax Number 6195433183
Mailing Address Telephone Number 6195431884
Practice Location Address Telephone Number 6195431884
Authorized Official Telephone Number 6195437727

Addresses

Type Address City State Postal Country
Mailing Address 200 WEST ARBOR DR MC 8201 UCSD MEDICAL GROUP, PROVIDER ENROLLMENT DE SAN DIEGO CA 92103 CA
Practice Location Address 200 WEST ARBOR DR MC 8201 UCSD MEDICAL GROUP, PROVIDER ENROLLMENT DE SAN DIEGO CA 92103 CA

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1003864984 WALKER, ELISABETH
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Organization
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1023006970 MANDEL, JESS
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200 WEST ARBOR DR CA SAN DIEGO
1023043916 BROOKS, CATHERINE
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1023120078 VON LINTIG, FRIEDERIKE
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200 WEST ARBOR DR MC 8201 CA SAN DIEGO
1033168810 KABONGO, MARTIN
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1063526150 ZIEGLER, MICHAEL
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200 W ARBOR DRIVE MC 8201 CA SAN DIEGO
1063675593 NG, ELISA
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200 W ARBOR DR CA SAN DIEGO
1083644710 BECKER, OLGA
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200 W ARBOR DR CA SAN DIEGO
1093743601 VIIRRE, ERIK
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1104866318 KRITCHEVSKY, MARK
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1104972702 DEMETER, STEVEN
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200 WEST ARBOR DR CA SAN DIEGO
1114230489 REGENTS OF THE UNIVERSITY OF C
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200 WEST ARBOR DR - MC 8201 CA SAN DIEGO
1114472230 MCELROY, CARTER
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9300 CAMPUS POINT DR CA LA JOLLA
1124044821 CHEN, HUEI-SHENG
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200 WEST ARBOR DRIVE MC 8201 CA SAN DIEGO
1124055348 STELLWAGEN, LISA
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200 W. ARBOR DRIVE CA SAN DIEGO
1124131073 MELLINGER, DOUG
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200 W ARBOR DR CA SAN DIEGO
1124331426 ANTONUCCI, STEPHEN
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46347 ACADEMY DR MI PLYMOUTH
1144202631 RENNER, JOHN
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200 WEST ARBOR DR CA SAN DIEGO
1144278805 KANSAL, NIKHIL
Individual
200 W ARBOR DR CA SAN DIEGO
1144394586 KIM, DANIEL
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200 WEST ARBOR DR #9116A CA SAN DIEGO
1144486929 ESKANDER, RAMEZ
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200 W ARBOR DR CA SAN DIEGO
1164417606 TENBROOK, JULIE
Individual
200 W ARBOR DR CA SAN DIEGO
1164449955 FLISZAR, EVELYNE
Individual
200 W ARBOR DR CA SAN DIEGO
1164480943 DANIELS, GREGORY
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200 W ARBOR DR CA SAN DIEGO
1174551006 KORN, BOBBY
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9500 GILMAN DR CA LA JOLLA
1174626618 REGENTS OF THE UNIVERSITY OF C
Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1184670226 DANIELS, NICHOLAS
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1701 DIVISADERO ST CA SAN FRANCISCO
1184672156 KELSOE, JOHN
Individual
UCSD MEDICAL CENTER CA SAN DIEGO
1194758680 PERRIN, STEVEN
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200 W ARBOR DR CA SAN DIEGO
1205870482 COFFLER, MICKEY
Individual
200 WEST ARBOR DRIVE MC 8201 CA SAN DIEGO
1205888724 SMITHERMAN, KENTON
Individual
200 W ARBOR DR CA SAN DIEGO
1205893476 KRAVETZ, DAVID
Individual
200 W ARBOR DR CA SAN DIEGO
1205972148 HEATON, ROBERT
Individual
200 W. ARBOR DRIVE CA SAN DIEGO
1215911730 RAMNATH, VENKTESH
Individual
200 W ARBOR DR CA SAN DIEGO
1225101355 MILLEN, MARLENE
Individual
200 W ARBOR DR DEPT 8201 CA SAN DIEGO
1225130677 REGENTS OF THE UNIVERSITY OF C
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200 WEST ARBOR DRIVE CA SAN DIEGO
1225327349 LAW, NANCY
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200 W ARBOR DR CA SAN DIEGO
1235150871 CARPIO, MOISES
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200 W ARBOR DR CA SAN DIEGO
1235197633 BROWN, SANDRA
Individual
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1235232778 REGENTS OF THE UNIVESITY OF CA
Organization
200 WEST ARBOR DR CA SAN DIEGO
1235679234 BOSWELL, SARA
Individual
2221 CAMINO DEL RIO S CA SAN DIEGO
1245288240 KORNBLUTH, RICHARD
Individual
UCSD MEDICAL CENTER CA SAN DIEGO
1265460331 MAYNARD, GREGORY
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200 W ARBOR DR CA SAN DIEGO
1265473607 ALKSNE, JOHN
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200 W ARBOR DR CA SAN DIEGO
1265487326 SRILASAK, MICHELE
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3855 HEALTH SCIENCES DR CA LA JOLLA
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Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1265790083 ACHESON, DEAN
Individual
5060 SHOREHAM PL CA SAN DIEGO
1275598591 ATTIA, JILL
Individual
3855 HEALTH SCIENCES DR CA LA JOLLA
1295793024 BLUESTEIN, HARRY
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200 W ARBOR DR CA SAN DIEGO
1306000922 BAJWA, JASWINDER
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200 W ARBOR DR CA SAN DIEGO
1306064126 REGENTS OF THE UNIVERSITY OF C
Organization
200 WEST ARBOR DR CA SAN DIEGO
1326141862 REGENTS OF THE UNIVERSITY OF C
Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1336179027 BUNDENS, WARNER
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200 W ARBOR DR CA SAN DIEGO
1336209428 TIMPE, BETH
Individual
200 WEST ARBOR DR CA SAN DIEGO
1336267137 REGENTS OF THE UNIVERSITY OF C
Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1346298502 SCHOOLEY, ROBERT
Individual
200 WEST ARBOR DRIVE MC 8201 CA SAN DIEGO
1356356034 GABBAI, FRANCIS
Individual
200 WEST ARBOR DR CA SAN DIEGO
1356431373 MAFEE, MAHMOOD
Individual
200 W ARBOR DR DEPT 8201 CA SAN DIEGO
1366491474 TARAS, HOWARD
Individual
200 W ARBOR DR CA SAN DIEGO
1366503427 EVANS, SEAN
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200 WEST ARBOR DRIVE CA SAN DIEGO
1366673568 WAH, DESMOND
Individual
200 W. ARBOR DR. CA SAN DIEGO
1376604959 DODDS, SHERI
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200 WEST ARBOR DR CA SAN DIEGO
1376707901 BATES, DARRYL
Individual
9333 GENESEE AVE STE 200 CA SAN DIEGO
1376733790 CARY, BRIAN
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9300 CAMPUS POINT DR CA LA JOLLA
1376800771 FIORENTINO, LAVINIA
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3855 HEALTH SCIENCES DR # 658 CA LA JOLLA
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Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1417050345 CARRERA, CARLOS
Individual
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1417050956 REGENTS OF THE UNIVERSITY OF C
Organization
330 LEWIS STREET CA SAN DIEGO
1427176221 REGENTS OF THE UNIVERSITY OF C
Organization
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1427176338 REGENTS OF UNIVERSITY OF CALIF
Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1427212844 HIGGINS, JILL
Individual
200 W. ARBOR DR. CA SAN DIEGO
1457697567 MIRALLES, ARA
Individual
9500 GILMAN DR # MC0956 CA LA JOLLA
1467482364 ERALY, SATISH
Individual
200 WEST ARBOR DRIVE CA SAN DIEGO
1467519579 HUGHSON, WILLIAM
Individual
UCSD MEDICAL CENTER CA SAN DIEGO
1477501450 HOSTETLER, KARL
Individual
200 W ARBOR DR CA SAN DIEGO
1477586790 ZISOOK, SIDNEY
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9500 GILMAN DR CA LA JOLLA
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Organization
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1508824178 NORCROSS, WILLIAM
Individual
200 W ARBOR DR CA SAN DIEGO
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1518916857 PERDION, KAREN
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1200 GARDEN VIEW RD STE 200 CA ENCINITAS
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Organization
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Individual
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Individual
2719 HIGHLAND AVE CA NATIONAL CITY
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Individual
200 W ARBOR DR CA SAN DIEGO
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Individual
3855 HEALTH SCIENCES DR # 0843 CA LA JOLLA
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3350 LA JOLLA VILLAGE DR CA SAN DIEGO
1649215492 NARAYAN, SANJIV
Individual
200 W ARBOR DR CA SAN DIEGO
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Organization
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Individual
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Individual
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Organization
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Individual
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1790945467 UNIVERISTY OF CALIFORNIA SAN D
Organization
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1801835996 JIANG, SHANG I
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200 WEST ARBOR DRIVE CA SAN DIEGO
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200 WEST ARBOR DR CA SAN DIEGO
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200 WEST ARBOR DR CA SAN DIEGO
1831157122 PARAMESWARAN, ASHOK
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200 W ARBOR DR CA SAN DIEGO
1831363191 MANOSALVA, YAMILE
Individual
200 W ARBOR DR CA SAN DIEGO
1831364330 STANFILL, JOHN
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7600 WOLF RIVER BLVD TN GERMANTOWN
1841258050 TERKELTAUB, ROBERT
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200 W ARBOR DR CA SAN DIEGO
1851349757 BIRGERSDOTTER-GREEN, ULRIKA
Individual
200 WEST ARBOR DRIVE CA SAN DIEGO
1861443681 MATTHEWS, CAROL
Individual
200 W ARBOR DR CA SAN DIEGO
1861833659 WHEELER, SAMANTHA
Individual
200 W ARBOR DR # MC8201 CA SAN DIEGO
1871541664 BENSON, CONSTANCE
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200 W ARBOR DR CA SAN DIEGO
1881796811 REGENTS OF THE UNIVERSITY OF C
Organization
200 WEST ARBOR DRIVE CA SAN DIEGO
1881878528 DEMERS, PAMELA
Individual
330 LEWIS ST CA SAN DIEGO
1891891420 DAM, THUY-TIEN
Individual
200 W ARBOR DR CA SAN DIEGO
1902069446 BOLAND, BRIGID
Individual
200 W ARBOR DR CA SAN DIEGO
1902343833 BALL, KELLY
Individual
4074 FALCON ST CA SAN DIEGO
1902862121 HULL, ANDREW
Individual
200 W ARBOR DR CA SAN DIEGO
1922169101 NORMAN, MARC
Individual
200 W ARBOR DR CA SAN DIEGO
1932297231 HORGAN, SANTIAGO
Individual
200 WEST ARBOR DR CA SAN DIEGO
1932319464 SIEN, STEFAN
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1900 23RD ST OH CUYAHOGA FALLS
1932462785 VERA, ABIGAIL
Individual
200 W ARBOR DR CA SAN DIEGO
1952359911 CLARK, JOANN
Individual
200 WEST ARBOR DRIVE MC 8201 CA SAN DIEGO
1962738641 SOLER, XAVIER
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200 WEST ARBOR DR - 8201 CA SAN DIEGO
1972537025 FUSTER, MARK
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200 W ARBOR DR CA SAN DIEGO
1982647392 KERR, KIM
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200 W ARBOR DR CA SAN DIEGO
1992873673 DI NARDO, ANNA
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200 WEST ARBOR DRIVE CA SAN DIEGO

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1467799080 ORLOFF, MARSHALL
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200 WEST ARBOR DRIVE CA SAN DIEGO
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1548222532 CICERI, BRANDIE
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200 WEST ARBOR DR CA SAN DIEGO
1568726602 CHEUNG, VINCENT
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200 WEST ARBOR DR CA SAN DIEGO
1578515441 SHAW, DANIEL
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1619047545 VARON, SHIRA
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200 WEST ARBOR DR CA SAN DIEGO
1629385836 PRETORIUS, GERT
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200 WEST ARBOR DR CA SAN DIEGO
1649799370 LERNER, DMITRI
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200 WEST ARBOR DR CA SAN DIEGO
1669470753 AISEN, PAUL
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200 WEST ARBOR DR MC 0949 CA SAN DIEGO
1669685673 HARIRI, ARVIN
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200 WEST ARBOR DR CA SAN DIEGO
1699988667 MAREK BYKOWSKI, JULIE
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200 WEST ARBOR DR CA SAN DIEGO
1700087376 PETERSON, MICHAEL
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200 WEST ARBOR DR CA SAN DIEGO
1730127069 HEBERT, STEPHEN
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200 WEST ARBOR DR CA SAN DIEGO
1740382993 REGENTS OF THE UNIVERSITY OF C
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1750325502 BARBER, CAROLYN
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200 WEST ARBOR DR CA SAN DIEGO
1770796781 NANIGIAN, DANIELLE
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200 WEST ARBOR DR CA SAN DIEGO
1790721256 CASOLA, GIOVANNA
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1801841317 LUJAN, EUGENIO
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1821160342 COWGILL, STEVEN
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1881866507 BROWN, JASON
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1932297231 HORGAN, SANTIAGO
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1972550804 SHIELDS, SHARON
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Identifier: 364823305 (Other)
Identifier: 364823306 (Other)
Identifier: 364823307 (Other)
Identifier: 364823300 (Other)
Identifier: 364823301 (Other)
Identifier: CGP016905 (Other)
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Identifier: 364823302 (Other)
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1235232778 REGENTS OF THE UNIVESITY OF CA
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Identifier: 364823305 (Other)
Identifier: 364823306 (Other)
Identifier: 364823307 (Other)
Identifier: 364823300 (Other)
Identifier: 364823301 (Other)
Identifier: CGP016905 (Other)
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Identifier: 364823308 (Other)
Identifier: 364823302 (Other)
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Identifier: 364823301 (Other)
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1356444897 REGENTS OF THE UNIVERSITY OF C
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Identifier: 364823304 (Other)
Identifier: 364823308 (Other)
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Organization
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Individual
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Individual
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Individual
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Organization
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Individual
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Individual
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