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1871641795
KIM M TADDIE
SAN DIEGO, CA
NPI
1871641795
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP11762)
Enumeration Date
2007-01-08
Last Update Date
2008-09-23
Business Address
KIM M TADDIE NP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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Mailing Address
KIM M TADDIE NP
4647 ZION AVE
SAN DIEGO, CA 92120-2507
Phone number: 619-528-5000
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