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1003187915
MARIANA CONCEPCION MOUALEM
SAN BERNARDINO, CA
NPI
1003187915
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 21556)
Enumeration Date
2012-01-24
Last Update Date
2018-10-17
Business Address
Ms. MARIANA CONCEPCION MOUALEM FNP
1800 WESTERN AVE STE 305
SAN BERNARDINO, CA 92411-1354
Phone number: 909-880-9993
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Mailing Address
Ms. MARIANA CONCEPCION MOUALEM FNP
908 NORTH ARDMORE AVE
LOS ANGELES, CA 90029
Phone number: 626-632-8795
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