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1275991929
MANUEL A MORENO
SAN DIEGO, CA
NPI
1275991929
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: CA 695565)
Enumeration Date
2016-02-09
Last Update Date
2016-12-09
Business Address
MR. MANUEL A MORENO N.P.
1855 1ST AVE 200-B
SAN DIEGO, CA 92101-2685
Phone number: 619-233-4044
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Mailing Address
MR. MANUEL A MORENO N.P.
PO BOX 232410 200-B
SAN DIEGO, CA 92193-2410
Phone number: 858-249-6749
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