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1144677592
JOHNNIE GAYLE JAVIDAN
LA JOLLA, CA
NPI
1144677592
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95003116)
Enumeration Date
2016-05-16
Last Update Date
2016-05-16
Business Address
Mrs. JOHNNIE GAYLE JAVIDAN FNP-C
7720 FAY AVE.
LA JOLLA, CA 92037
Phone number: 858-454-2700
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Mailing Address
Mrs. JOHNNIE GAYLE JAVIDAN FNP-C
7720 FAY AVE.
LA JOLLA, CA 92037
Phone number: 858-454-2700
Copy
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