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1336303577
WAYNE DAVID OVERLY
SAN DIEGO, CA
NPI
1336303577
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163WE0003X Registered Nurse, Emergency
(Licence: CA 501535)
Enumeration Date
2008-07-16
Last Update Date
2008-07-16
Business Address
-- WAYNE DAVID OVERLY CNS
VA SAN DIEGO HEALTHCARE SYSTEM 3350 LA JOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161-0001
Phone number: 858-552-8585
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Mailing Address
-- WAYNE DAVID OVERLY CNS
10406 WILD ORCHID WAY
SAN DIEGO, CA 92127-2876
Phone number: 858-254-0568
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