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Individual

DEBRA MUTOPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
900 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249-9713
(209) 754-3823
Mailing address
PO BOX 1569, SAN ANDREAS, CA 95249-1569
(209) 745-3823

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95010992
CA

Other

Enumeration date
03/29/2019
Last updated
06/06/2019
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