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1386794469
REGINA M OTTEM
SAN DIEGO, CA
NPI
1386794469
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner Adult Health
(Licence: CA 12322)
Enumeration Date
2007-01-11
Last Update Date
2007-07-08
Business Address
REGINA M OTTEM ANP
4311 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-688-1600
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Mailing Address
REGINA M OTTEM ANP
4311 3RD AVE
SAN DIEGO, CA 92103-1407
Phone number: 619-688-1600
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