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1639763675
KATHERINE DEETTA GREENWALT
PASADENA, CA
NPI
1639763675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027605)
Enumeration Date
2021-02-20
Last Update Date
2024-07-13
Business Address
Dr. KATHERINE DEETTA GREENWALT FNP-C
1017 S FAIR OAKS AVE
PASADENA, CA 91105-2621
Phone number: 626-403-6200
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Mailing Address
Dr. KATHERINE DEETTA GREENWALT FNP-C
1017 S FAIR OAKS AVE
PASADENA, CA 91105-2621
Phone number: 626-403-6200
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