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1114940988
STEPHANIE D JENNICHES
UPLAND, CA
NPI
1114940988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP9412)
Enumeration Date
2006-07-25
Last Update Date
2007-07-08
Business Address
-- STEPHANIE D JENNICHES NP
999 SAN BERNARDINO RD
UPLAND, CA 91786-4920
Phone number: 909-985-2811
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Mailing Address
-- STEPHANIE D JENNICHES NP
PO BOX 4419
WOODLAND HILLS, CA 91365-4419
Phone number: 818-340-9988
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