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1023084647
MARYANN HOFTIEZER
SAN DIEGO, CA
NPI
1023084647
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 313753)
Enumeration Date
2006-02-23
Last Update Date
2007-07-08
Business Address
Ms. MARYANN HOFTIEZER
8808 BALBOA AVE
SAN DIEGO, CA 92123-1592
Phone number: 858-569-6664
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Mailing Address
Ms. MARYANN HOFTIEZER
3617 BERNWOOD PL
SAN DIEGO, CA 92130-1046
Phone number:
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