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1760754659
CARLYN MCLEAN FOSTAKOWSKY
SANTA MONICA, CA
NPI
1760754659
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Former Name
CARLYN MCLEAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 21062)
Enumeration Date
2012-02-07
Last Update Date
2021-03-31
Business Address
Mrs. CARLYN MCLEAN FOSTAKOWSKY R.N., M.S.N., N.P.
2001 SANTA MONICA BLVD STE 280W
SANTA MONICA, CA 90404-2172
Phone number: 310-829-7678
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Mailing Address
Mrs. CARLYN MCLEAN FOSTAKOWSKY R.N., M.S.N., N.P.
2001 SANTA MONICA BLVD SUITE 280W
SANTA MONICA, CA 90404-2102
Phone number: 310-829-7678
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