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1376758151
MARY THERESE DENICOLA
ORANGE, CA
NPI
1376758151
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 287538)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
-- MARY THERESE DENICOLA NP
7548 E ANGEL VIEW TER
ORANGE, CA 92869-1802
Phone number: 714-289-4793
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Mailing Address
-- MARY THERESE DENICOLA NP
455 S MAIN ST
ORANGE, CA 92868-3835
Phone number: 714-997-3000
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