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1194777045
JENNIFER DIEM TRUONG
COSTA MESA, CA
NPI
1194777045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 495905)
Enumeration Date
2006-05-17
Last Update Date
2007-07-08
Business Address
Mrs. JENNIFER DIEM TRUONG RNP
2501 HARBOR BLVD
COSTA MESA, CA 92626-6143
Phone number: 714-957-5000
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Mailing Address
Mrs. JENNIFER DIEM TRUONG RNP
1600 9TH STREET ROOM 205 MAILSTOP 2 3
SACRAMENTO, CA 95814-6414
Phone number: 916-654-2431
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