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1821214024
TERESA MAHONEY FADELY
LOS ANGELES, CA
NPI
1821214024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 16174)
Enumeration Date
2007-04-17
Last Update Date
2011-06-28
Business Address
-- TERESA MAHONEY FADELY ACNP
200 UCLA MEDICAL PLZ STE B265
LOS ANGELES, CA 90095-0001
Phone number: 310-825-0128
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Mailing Address
-- TERESA MAHONEY FADELY ACNP
5767 W CENTURY BLVD SUITE 400
LOS ANGELES, CA 90045-5631
Phone number: 310-825-0128
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