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1184379786
SUSANA PERALTA MARQUEZ
LA MESA, CA
NPI
1184379786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019983)
Enumeration Date
2022-02-14
Last Update Date
2022-05-19
Business Address
Mrs. SUSANA PERALTA MARQUEZ Nurse Practitioner
8080 PARKWAY DR
LA MESA, CA 91942-2104
Phone number: 619-589-3296
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Mailing Address
Mrs. SUSANA PERALTA MARQUEZ Nurse Practitioner
8080 PARKWAY DR
LA MESA, CA 91942-2104
Phone number: 610-210-5763
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