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1134827868
JEVANGELINE CO-VIVO
LONG BEACH, CA
NPI
1134827868
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Former Name
JEVANGELINE CO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95024255)
Enumeration Date
2023-02-22
Last Update Date
2024-10-25
Business Address
JEVANGELINE CO-VIVO
233 E WILLOW ST
LONG BEACH, CA 90806-2623
Phone number: 562-989-9868
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Mailing Address
JEVANGELINE CO-VIVO
233 E WILLOW ST
LONG BEACH, CA 90806-2623
Phone number:
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