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1538633219
JAMIE KROESCH LIDSTER
ENCINITAS, CA
NPI
1538633219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95006076)
Enumeration Date
2019-01-16
Last Update Date
2019-01-16
Business Address
JAMIE KROESCH LIDSTER
2210 ENCINITAS BLVD STE N
ENCINITAS, CA 92024-4376
Phone number: 760-230-1888
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Mailing Address
JAMIE KROESCH LIDSTER
3213 AVENIDA HACIENDA
ESCONDIDO, CA 92029-7927
Phone number: 760-533-2739
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