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1174234983
MARIA DELIA DEJARME FORTUNATO
LOS ANGELES, CA
NPI
1174234983
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95023985)
Enumeration Date
2022-12-13
Last Update Date
2023-03-22
Business Address
MARIA DELIA DEJARME FORTUNATO PMHNP-BC
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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Mailing Address
MARIA DELIA DEJARME FORTUNATO PMHNP-BC
4211 AVALON BLVD
LOS ANGELES, CA 90011-5622
Phone number: 323-233-0425
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