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1124165295
CELESTE MARIE MIKULICS
LA MESA, CA
NPI
1124165295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 446338)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
-- CELESTE MARIE MIKULICS nurse practitioner
5555 GROSSMONT CENTER DR WOUND HEALIGN CENTER
LA MESA, CA 91942-3019
Phone number: 619-720-4160
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Mailing Address
-- CELESTE MARIE MIKULICS nurse practitioner
3821 AZALEA GLN
ESCONDIDO, CA 92025-7905
Phone number: 760-291-1616
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