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Individual

MICHAEL WILLIAM PATE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3914 MURPHY CANYON RD STE A226, SAN DIEGO, CA 92123-4436
(031) 585-8751
Mailing address
2763 ADRIAN ST, SAN DIEGO, CA 92110-5712
(619) 357-9743

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
283866
CA
363LF0000X
Family Nurse Practitioner
283866
CA

Other

Enumeration date
01/01/2025
Last updated
01/01/2025
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