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1609863968
JOHANNA GREEN-JACOB
SAN DIEGO, CA
NPI
1609863968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 13014)
Enumeration Date
2005-10-03
Last Update Date
2014-02-25
Business Address
Mrs. JOHANNA GREEN-JACOB Nurse Practitioner
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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Mailing Address
Mrs. JOHANNA GREEN-JACOB Nurse Practitioner
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
Copy
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