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1275000143
LIBERTY THI AWA
EL CAJON, CA
NPI
1275000143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
364SC1501X Clinical Nurse Specialist, Community Health/Public Health
(Licence: CA 95147345)
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
LIBERTY THI AWA
367 N MAGNOLIA AVE
EL CAJON, CA 92020-3995
Phone number: 619-441-6500
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Mailing Address
LIBERTY THI AWA
2860 COMSTOCK ST
SAN DIEGO, CA 92111-5506
Phone number: 619-792-7867
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