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1093124703
GRACE BACANI
SAN DIEGO, CA
NPI
1093124703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95001006)
Enumeration Date
2014-08-06
Last Update Date
2020-05-15
Business Address
GRACE BACANI FNP
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
GRACE BACANI FNP
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number: 858-249-6750
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