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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

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