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1467459735
TYE DEPENA
WATSONVILLE, CA
NPI
1467459735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A60990)
Enumeration Date
2005-07-01
Last Update Date
2010-02-08
Business Address
-- TYE DEPENA M.D.
1505 MAIN ST
WATSONVILLE, CA 95076-3761
Phone number: 831-722-1444
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Mailing Address
-- TYE DEPENA M.D.
DEPT LA 23183
PASADENA, CA 91185-0001
Phone number: 831-649-1000
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