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1265875819
DEBRA EILEEN BENNETT
LA JOLLA, CA
NPI
1265875819
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 22962)
Enumeration Date
2013-04-14
Last Update Date
2013-04-14
Business Address
-- DEBRA EILEEN BENNETT NP
9850 GENESEE AVE SUITE 570
LA JOLLA, CA 92037-1224
Phone number: 858-200-3007
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Mailing Address
-- DEBRA EILEEN BENNETT NP
3554 BACONTREE PL
SAN DIEGO, CA 92111-4728
Phone number: 619-540-0283
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