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1689150096
ILSU MIN
SAN DIEGO, CA
NPI
1689150096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95008001)
Enumeration Date
2018-07-18
Last Update Date
2018-07-18
Business Address
ILSU MIN
4811 VALDINA WAY
SAN DIEGO, CA 92124-2427
Phone number: 316-304-3580
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Mailing Address
ILSU MIN
4811 VALDINA WAY
SAN DIEGO, CA 92124-2427
Phone number: 316-304-3580
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