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1649309105
TARA A SHEALY
SAN DIEGO, CA
NPI
1649309105
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent
(Licence: CA 392596)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mrs. TARA A SHEALY RN
446 ALTA RD SUITE 6100
SAN DIEGO, CA 92158-0001
Phone number: 619-671-6533
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Mailing Address
Mrs. TARA A SHEALY RN
11272 CORTE PLAYA MADERA
SAN DIEGO, CA 92124-4137
Phone number: 858-292-4600
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