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1730558743
FERNANDO MEDIANO
LA JOLLA, CA
NPI
1730558743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP95005764)
Enumeration Date
2015-09-20
Last Update Date
2017-09-25
Business Address
-- FERNANDO MEDIANO
9300 CAMPUS POINT DR
LA JOLLA, CA 92037-1300
Phone number: 858-657-8540
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Mailing Address
-- FERNANDO MEDIANO
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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