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1184032716
MINERVA LACRA MENDIZABAL
SAN DIEGO, CA
NPI
1184032716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: CA 750076)
Enumeration Date
2014-07-28
Last Update Date
2014-07-28
Business Address
-- MINERVA LACRA MENDIZABAL
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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Mailing Address
-- MINERVA LACRA MENDIZABAL
3853 ROSECRANS ST THE SAN DIEGO PSYCHIATRIC HOSPITAL
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8232
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