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Individual

MAGGIE FRYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(196) 868-3800
Mailing address
995 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4500

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95028580
CA

Other

Enumeration date
09/12/2022
Last updated
02/01/2024
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