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1013546878
ERA MAE CHUA GIBBONS
LOS ANGELES, CA
NPI
1013546878
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95014355)
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
ERA MAE CHUA GIBBONS
1655 S WESTERN AVE
LOS ANGELES, CA 90006-5801
Phone number: 323-737-5200
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Mailing Address
ERA MAE CHUA GIBBONS
4020 W 59TH ST
LOS ANGELES, CA 90043-3412
Phone number: 323-535-2111
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