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1104585090
MARIAM C AJMAL
SAN DIEGO, CA
NPI
1104585090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95017543)
Enumeration Date
2021-12-08
Last Update Date
2021-12-08
Business Address
MARIAM C AJMAL FNP
9663 TIERRA GRANDE ST STE 101
SAN DIEGO, CA 92126-4569
Phone number: 858-547-0077
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Mailing Address
MARIAM C AJMAL FNP
17015 BERNARDO CENTER DR APT A
SAN DIEGO, CA 92128-2593
Phone number: 818-536-3573
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