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1952065005
MADISON LE
SAN DIEGO, CA
NPI
1952065005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95018891)
Enumeration Date
2021-10-25
Last Update Date
2021-10-25
Business Address
MADISON LE NP
7901 FROST ST
SAN DIEGO, CA 92123-2701
Phone number: 858-939-5660
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Mailing Address
MADISON LE NP
7901 FROST ST
SAN DIEGO, CA 92123-2701
Phone number: 858-939-5660
Copy
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