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1982203097
REBECCA CHIVATAKARN
LA JOLLA, CA
NPI
1982203097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95015597)
Enumeration Date
2020-10-20
Last Update Date
2024-12-03
Business Address
Ms. REBECCA CHIVATAKARN NP
6505 LA JOLLA BLVD STE 4
LA JOLLA, CA 92037
Phone number: 619-500-6262
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Mailing Address
Ms. REBECCA CHIVATAKARN NP
6505 LA JOLLA BLVD STE 4
LA JOLLA, CA 92037-6016
Phone number: 619-500-6262
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