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1154653459
COMMERINA THEODORA MCCONNIN
SAN DIEGO, CA
NPI
1154653459
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: CA NP7195)
Enumeration Date
2010-02-11
Last Update Date
2021-06-01
Business Address
COMMERINA THEODORA MCCONNIN NNP
3010 CHILDRENS WAY
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5818
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Mailing Address
COMMERINA THEODORA MCCONNIN NNP
3020 CHILDRENS WAY # MC5008
SAN DIEGO, CA 92123-4223
Phone number: 858-966-5818
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