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1972008712
JENNA NICOLE MCCANLESS
SAN DIEGO, CA
NPI
1972008712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95036083)
Enumeration Date
2018-03-26
Last Update Date
2018-03-26
Business Address
JENNA NICOLE MCCANLESS BSN, RN
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-8585
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Mailing Address
JENNA NICOLE MCCANLESS BSN, RN
4461 MATARO DR
SAN DIEGO, CA 92115-5917
Phone number: 443-534-0558
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