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1205281540
LINNINEA BOOM
LOMA LINDA, CA
NPI
1205281540
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Former Name
LINNINEA EBELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95003686)
Enumeration Date
2016-04-23
Last Update Date
2023-03-16
Business Address
LINNINEA BOOM
11175 CAMPUS ST SUITE 11120
LOMA LINDA, CA 92350-1700
Phone number: 909-558-0440
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Mailing Address
LINNINEA BOOM
11175 CAMPUS ST
LOMA LINDA, CA 92350-1700
Phone number: 909-558-8242
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