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1790240885
TERESA ANN MCCORMACK
SAN DIEGO, CA
NPI
1790240885
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Former Name
TERESA ANN MCCORMACK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WL0100X Registered Nurse, Lactation Consultant
(Licence: CA 784994)
Enumeration Date
2019-02-04
Last Update Date
2019-03-11
Business Address
TERESA ANN MCCORMACK RN, IBCLC
4443 30TH ST STE 205
SAN DIEGO, CA 92116-4291
Phone number: 619-312-1832
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Mailing Address
TERESA ANN MCCORMACK RN, IBCLC
9728 MARILLA DR UNIT 205
LAKESIDE, CA 92040-2853
Phone number: 858-216-6257
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