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1801927157
DEVERY MANDAGIE
SAN DIEGO, CA
NPI
1801927157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: CA 556258)
Enumeration Date
2007-03-08
Last Update Date
2007-07-08
Business Address
Mrs. DEVERY MANDAGIE RN PHN
3851 ROSECRANS ST
SAN DIEGO, CA 92110-3115
Phone number: 619-692-8610
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Mailing Address
Mrs. DEVERY MANDAGIE RN PHN
2405 CHICAGO ST
SAN DIEGO, CA 92110-4106
Phone number:
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