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1013792670
AYANO ITOH
LOMPOC, CA
NPI
1013792670
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95025509)
Enumeration Date
2023-08-30
Last Update Date
2024-01-29
Business Address
AYANO ITOH
1225 N H ST
LOMPOC, CA 93436-3301
Phone number: 805-737-8700
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Mailing Address
AYANO ITOH
1107 FIAT ST
TORRANCE, CA 90502-2221
Phone number:
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