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1699315473
MAYA DEVONNE CARROLL
SAN DIEGO, CA
NPI
1699315473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95013568)
Enumeration Date
2020-01-09
Last Update Date
2020-01-09
Business Address
Mrs. MAYA DEVONNE CARROLL PMHNP-BC
7488 CALZADA DE LA FUENTE
SAN DIEGO, CA 92154-2717
Phone number: 619-661-4056
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Mailing Address
Mrs. MAYA DEVONNE CARROLL PMHNP-BC
4672 GOLDEN SKY WAY UNIT 146
SAN DIEGO, CA 92154-8813
Phone number: 931-217-4898
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