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Individual

LAURA G WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4520 EXECUTIVE DR, SUITE 350, SAN DIEGO, CA 92121-3018
(858) 457-0030
Mailing address
9894 LA JOLLA FARMS RD, LA JOLLA, CA 92037-1135
(858) 453-5902

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
263647
CA

Other

Enumeration date
08/10/2006
Last updated
10/19/2012
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