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1891748026
MARY F. KODIATH
SAN DIEGO, CA
NPI
1891748026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 366086)
Enumeration Date
2006-05-18
Last Update Date
2007-07-08
Business Address
-- MARY F. KODIATH NP
3350 LAJOLLA VILLAGE DRIVE
SAN DIEGO, CA 92161-0001
Phone number: 858-552-8585
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Mailing Address
-- MARY F. KODIATH NP
13645 CATAWBA DR
POWAY, CA 92064-3809
Phone number:
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