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1750053559
STEFAN BULATOVIC
SAN DIEGO, CA
NPI
1750053559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95018067)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
STEFAN BULATOVIC PMHNP-BC
2810 CAMINO DEL RIO S STE 102
SAN DIEGO, CA 92108-3819
Phone number: 619-299-1419
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Mailing Address
STEFAN BULATOVIC PMHNP-BC
3644 WILSON AVE
SAN DIEGO, CA 92104-4430
Phone number: 619-559-5305
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