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1174001804
CASEY WOLLENBERG
LOS ANGELES, CA
NPI
1174001804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95009609)
Enumeration Date
2018-08-03
Last Update Date
2023-12-07
Business Address
CASEY WOLLENBERG RN, FNP
1520 SAN PABLO ST STE 1000
LOS ANGELES, CA 90033-5312
Phone number: 323-442-5100
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Mailing Address
CASEY WOLLENBERG RN, FNP
PO BOX 31309
LOS ANGELES, CA 90031-0309
Phone number: 323-442-5100
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