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1154140937
LENIELIN KISON BACCAY
PANORAMA CITY, CA
NPI
1154140937
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 589316)
Enumeration Date
2024-10-08
Last Update Date
2024-10-08
Business Address
LENIELIN KISON BACCAY
9233 CEDROS AVE
PANORAMA CITY, CA 91402-1251
Phone number: 818-294-3102
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Mailing Address
LENIELIN KISON BACCAY
9233 CEDROS AVE
PANORAMA CITY, CA 91402-1251
Phone number: 818-294-3102
Copy
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