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Individual

MRS. EDILMA OVERELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN238664

Contact information

Practice address
104 BARNES ST, OCEANSIDE, CA 92054-3406
(760) 967-4401
Mailing address
4847 GLENHOLLOW CIR, OCEANSIDE, CA 92057-7938

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
RN 238664
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
163WC1500X
RN
CA
Enumeration date
03/22/2007
Last updated
07/08/2007
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