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Individual

MRS. KATHY A. EDMONSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
474 W VERMONT AVE, STE 101, ESCONDIDO, CA 92025-6584
(760) 480-2255
(760) 741-6645
Mailing address
474 W VERMONT AVE, STE 101, ESCONDIDO, CA 92025-6584
(760) 480-2255
(760) 741-6645

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
469172
CA

Other

Enumeration date
10/27/2006
Last updated
07/08/2007
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