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1154040111
KRISTINA MIKELL
ORANGE, CA
NPI
1154040111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 9502017)
Enumeration Date
2022-08-24
Last Update Date
2023-05-19
Business Address
KRISTINA MIKELL AGNP-C
1100 W TOWN AND COUNTRY RD STE 1300
ORANGE, CA 92868-4654
Phone number: 855-434-7767
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Mailing Address
KRISTINA MIKELL AGNP-C
17855 DALLAS PKWY STE 200
DALLAS, TX 75287-6857
Phone number: 909-295-6006
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