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1336503150
JENNIFER NICHOLE DENNISON
SAN DIEGO, CA
NPI
1336503150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: MT OTP-OTA-LIC4075)
Enumeration Date
2016-04-07
Last Update Date
2016-04-07
Business Address
-- JENNIFER NICHOLE DENNISON Cota/L
12400 HIGH BLUFF DR STE 100
SAN DIEGO, CA 92130-3077
Phone number: 866-480-3874
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Mailing Address
-- JENNIFER NICHOLE DENNISON Cota/L
12400 HIGH BLUFF DR STE 100
SAN DIEGO, CA 92130-3077
Phone number:
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