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1023008208
MARTHA MAUPIN MEDLICOTT
SAN JOSE, CA
NPI
1023008208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA 406171)
Enumeration Date
2005-10-27
Last Update Date
2007-07-08
Business Address
-- MARTHA MAUPIN MEDLICOTT OB/GYN N.P.
276 INTERNATIONAL CIR
SAN JOSE, CA 95119-1130
Phone number: 408-972-6270
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Mailing Address
-- MARTHA MAUPIN MEDLICOTT OB/GYN N.P.
4041 ACAPULCO DR
CAMPBELL, CA 95008-3800
Phone number: 408-374-6321
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