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Individual

MATTHEW O'CONNOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3417 FRONT ST, SAN DIEGO, CA 92103-4813
(314) 498-9227
Mailing address
3417 FRONT ST, SAN DIEGO, CA 92103-4813
(314) 498-9227

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
659650
CA

Other

Enumeration date
02/01/2016
Last updated
02/01/2016
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