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1821384371
KEVIN JOHN MAXWELL
SAN DIEGO, CA
NPI
1821384371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 20902)
Enumeration Date
2011-06-23
Last Update Date
2011-09-27
Business Address
-- KEVIN JOHN MAXWELL FNP
6973 LINDA VISTA RD
SAN DIEGO, CA 92111-6342
Phone number: 858-279-0925
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Mailing Address
-- KEVIN JOHN MAXWELL FNP
1504 CYPRESS AVE
SAN DIEGO, CA 92103-4517
Phone number: 619-750-5502
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