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MS. JACQUELINE NICHOLE DIPERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9850 GENESEE AVE, STE 560, LA JOLLA, CA 92037-1224
(858) 455-6330
(858) 964-3135
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(858) 455-6330

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP19200
CA

Other

Enumeration date
10/02/2009
Last updated
02/22/2017
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