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1962508903
TARA CODEE MAURO
SAN DIEGO, CA
NPI
1962508903
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Former Name
TARA CODEE LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA 20A16439)
Enumeration Date
2006-09-16
Last Update Date
2024-05-16
Business Address
TARA CODEE MAURO D.O.
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130-3034
Phone number: 858-279-1223
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Mailing Address
TARA CODEE MAURO D.O.
11515 EL CAMINO REAL STE 100
SAN DIEGO, CA 92130-3034
Phone number: 858-279-1223
Copy
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