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1205690773
PETER DAVID TANNOUS
SAN DIEGO, CA
NPI
1205690773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95028977)
Enumeration Date
2024-02-06
Last Update Date
2024-02-06
Business Address
Mr. PETER DAVID TANNOUS FNP-C
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
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Mailing Address
Mr. PETER DAVID TANNOUS FNP-C
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105-1608
Phone number: 619-280-4213
Copy
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