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1942729173
JACQUELINE CHANNELL
SAN DIEGO, CA
NPI
1942729173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL ARNP9278612)
Enumeration Date
2017-09-19
Last Update Date
2022-09-15
Business Address
JACQUELINE CHANNELL FNP-BC
4520 EXECUTIVE DR STE 227
SAN DIEGO, CA 92121-3020
Phone number: 888-777-1945
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Mailing Address
JACQUELINE CHANNELL FNP-BC
111 STONE HARBOR WAY APT F1
DELRAY BEACH, FL 33444-3407
Phone number: 561-445-5761
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