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Julie A. Tenbrook
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NPI Number Detailed Information
Provider Information:
| Name: | Julie A. Tenbrook |
| Gender: | F |
| Provider License Number If Given: | NP95006278 |
NPI Information:
| NPI: | 1164417606 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 9/22/2017 |
Provider Business Mailing Address:
| Address: | PO BOX 232410 San Diego, CA 92193 |
| Phone Number: | (858) 249-6748 |
| Fax Number: | 6195433183 |
Provider Business Practice Location Address:
| Address: | 200 W ARBOR DR San Diego, CA 92103 |
| Phone Number: | 8585346200 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 363LP0808X |
| Secondary (if any): | |
| State: | CA |
