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1740907203
TINAMARIE DEGENNARO
SAN DIEGO, CA
NPI
1740907203
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: NY 257633)
Enumeration Date
2022-10-25
Last Update Date
2022-10-25
Business Address
TINAMARIE DEGENNARO
3853 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-615-0439
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Mailing Address
TINAMARIE DEGENNARO
600 B ST STE 1570
SAN DIEGO, CA 92101-4560
Phone number:
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