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1710759238
ALYSSA LAUREN DECATUR
SAN DIEGO, CA
NPI
1710759238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027872)
Enumeration Date
2023-10-27
Last Update Date
2023-10-27
Business Address
ALYSSA LAUREN DECATUR NP
1737 CHALMERS ST UNIT 101
SAN DIEGO, CA 92103-4768
Phone number: 989-482-5732
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Mailing Address
ALYSSA LAUREN DECATUR NP
1737 CHALMERS ST UNIT 101
SAN DIEGO, CA 92103-4768
Phone number: 989-482-5732
Copy
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