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1376925974
MEAGAN PETREK
SAN DIEGO, CA
NPI
1376925974
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Former Name
MEAGAN GOODMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95005125)
Enumeration Date
2015-06-19
Last Update Date
2022-02-10
Business Address
MEAGAN PETREK A.P.R.N.
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103-3122
Phone number: 858-554-1212
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Mailing Address
MEAGAN PETREK A.P.R.N.
2030 S DITMAR ST
OCEANSIDE, CA 92054-6526
Phone number: 402-613-3916
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