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1134737356
BOKENG ISANGE NWENGELA
CARSON, CA
NPI
1134737356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95013227)
Enumeration Date
2020-07-14
Last Update Date
2020-07-14
Business Address
BOKENG ISANGE NWENGELA
2637 E CARSON ST
CARSON, CA 90810-1508
Phone number: 310-933-6450
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Mailing Address
BOKENG ISANGE NWENGELA
16761 VIEWPOINT LN APT 80
HUNTINGTON BEACH, CA 92647-4758
Phone number:
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