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1750683314
BRENDA GERALDINE VAN LOGGEM
SAN DIEGO, CA
NPI
1750683314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 589781)
Enumeration Date
2010-12-02
Last Update Date
2010-12-02
Business Address
-- BRENDA GERALDINE VAN LOGGEM NP
6920 MIRAMAR RD
SAN DIEGO, CA 92121-2632
Phone number: 858-935-7379
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Mailing Address
-- BRENDA GERALDINE VAN LOGGEM NP
31570 EAGLE ROCK WAY
LAGUNA BEACH, CA 92651-8299
Phone number: 949-715-0464
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