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1376321653
ALEX PACK
SAN DIEGO, CA
NPI
1376321653
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95026926)
Enumeration Date
2023-09-19
Last Update Date
2024-03-27
Business Address
ALEX PACK
3250 FORDHAM ST
SAN DIEGO, CA 92110-5339
Phone number: 833-574-2273
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Mailing Address
ALEX PACK
3250 FORDHAM ST
SAN DIEGO, CA 92110-5339
Phone number: 833-574-2273
Copy
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