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1063925386
ALEX JOSEPH CROTTEAU
SAN DIEGO, CA
NPI
1063925386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95007967)
Enumeration Date
2017-11-08
Last Update Date
2018-08-02
Business Address
Mr. ALEX JOSEPH CROTTEAU FNP
3703 CAMINO DEL RIO S STE 210
SAN DIEGO, CA 92108
Phone number: 619-640-5555
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Mailing Address
Mr. ALEX JOSEPH CROTTEAU FNP
3703 CAMINO DEL RIO S STE 210
SAN DIEGO, CA 92108-4033
Phone number: 619-640-5555
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