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Individual

ALDA M O'CONNOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1241 E DYER RD STE 145, SANTA ANA, CA 92705-5694
(985) 707-5984
Mailing address
116 LION CIR, CHULA VISTA, CA 91910-3164
(985) 707-5984

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024167708
VA
363LF0000X
Family Nurse Practitioner
Primary
828844
CA

Other

Enumeration date
03/18/2008
Last updated
03/25/2013
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