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1063299717
JUSTIN MORA
SANTA MARIA, CA
NPI
1063299717
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95027200)
Enumeration Date
2023-09-14
Last Update Date
2023-12-05
Business Address
Mr. JUSTIN MORA FNP
2271 S DEPOT ST
SANTA MARIA, CA 93455-1216
Phone number: 805-922-0561
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Mailing Address
Mr. JUSTIN MORA FNP
2271 S DEPOT ST
SANTA MARIA, CA 93455-1216
Phone number: 805-922-0561
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