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1194115568
JUAN CARLOS FERNANDEZ LEYVA
SAN DIEGO, CA
NPI
1194115568
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95001964)
Enumeration Date
2015-01-23
Last Update Date
2016-10-20
Business Address
-- JUAN CARLOS FERNANDEZ LEYVA FNP
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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Mailing Address
-- JUAN CARLOS FERNANDEZ LEYVA FNP
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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