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1083169296
NATALIE ANN BOLIVAR
SAN DIEGO, CA
NPI
1083169296
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Former Name
NATALIE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA NP95004672)
Enumeration Date
2016-08-17
Last Update Date
2022-05-27
Business Address
NATALIE ANN BOLIVAR NP
3020 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-8800
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Mailing Address
NATALIE ANN BOLIVAR NP
3020 CHILDRENS WAY # MC5003
SAN DIEGO, CA 92123-4223
Phone number: 858-309-6300
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