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1699748657
MARY J. STATES
LA JOLLA, CA
NPI
1699748657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA NP14515)
Enumeration Date
2006-02-09
Last Update Date
2016-12-28
Business Address
-- MARY J. STATES N.P.
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-7462
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Mailing Address
-- MARY J. STATES N.P.
10790 RANCHO BERNARDO RD
SAN DIEGO, CA 92127-5705
Phone number: 858-554-7464
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