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1730215534
JENNIFER LYNNE DETISCH
VISTA, CA
NPI
1730215534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 16773)
Enumeration Date
2007-02-26
Last Update Date
2021-11-30
Business Address
-- JENNIFER LYNNE DETISCH NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
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Mailing Address
-- JENNIFER LYNNE DETISCH NP
1000 VALE TERRACE DR
VISTA, CA 92084-5218
Phone number: 760-631-5000
Copy
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