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1154757227
JI HAE RA
CERRITOS, CA
NPI
1154757227
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 23625)
Enumeration Date
2013-09-20
Last Update Date
2013-09-20
Business Address
-- JI HAE RA NP
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-741-4470
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Mailing Address
-- JI HAE RA NP
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-741-4470
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