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Individual

MR. PAUL DANIEL MCNALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ANP-BC

Contact information

Practice address
4510 EXECUTIVE DR, SUITE 125, SAN DIEGO, CA 92121-3021
(858) 643-5650
(858) 643-5651
Mailing address
4510 EXECUTIVE DR, SUITE 125, SAN DIEGO, CA 92121-3021
(858) 643-5650
(858) 643-5651

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19028
CA

Other

Enumeration date
07/08/2009
Last updated
02/03/2014
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