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1225784390
JANET MARY REVELS
SAN DIEGO, CA
NPI
1225784390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95020388)
Enumeration Date
2022-02-26
Last Update Date
2024-03-27
Business Address
Ms. JANET MARY REVELS PMHNP
4510 EXECUTIVE DR STE 108
SAN DIEGO, CA 92121-3022
Phone number: 619-333-3515
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Mailing Address
Ms. JANET MARY REVELS PMHNP
2621 PHEASANT DR
SAN DIEGO, CA 92123-3325
Phone number: 619-971-0548
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