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1447679790
SUSANA FAVILA
EL CENTRO, CA
NPI
1447679790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F0414053)
Enumeration Date
2014-04-15
Last Update Date
2021-02-10
Business Address
Mrs. SUSANA FAVILA FNP
2205 ROSS AVE STE 101
EL CENTRO, CA 92243-3623
Phone number: 760-353-0404
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Mailing Address
Mrs. SUSANA FAVILA FNP
4225 EXECUTIVE SQ STE 450
LA JOLLA, CA 92037-8411
Phone number: 858-810-8000
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