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Individual

DR. KATHERINE A TEEPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A84177

Contact information

Practice address
1031 AVENIDA PICO STE 106, SAN CLEMENTE, CA 92673-6355
(949) 373-1133
(949) 373-1135
Mailing address
315 W AVE, DE LOS MARINOS, SAN CLEMENTE, CA 92672
(949) 373-1133
(949) 373-1135

Taxonomy

Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A84177
CA

Other

Enumeration date
01/24/2007
Last updated
07/08/2007
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