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Kathleen M Flanigan

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NPI Number Detailed Information

Provider Information:

Name: Kathleen M Flanigan
Gender: F
Provider License Number If Given: LCS10380

NPI Information:

NPI: 1093709586
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 8/6/2010

Provider Business Mailing Address:

Address: 741 GARDEN VIEW CT SUITE 109
Encinitas, CA 92024
Phone Number: 7609448287
Fax Number: 7609448287

Provider Business Practice Location Address:

Address: 741 GARDEN VIEW CT SUITE 109
Encinitas, CA 92024
Phone Number: 7609448287
Fax Number: 7609448287

Provider Taxonomy:

Primary: 1041C0700X
Secondary (if any):
State: CA

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