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1215472949
BERNICE JANA JACOB
TUSTIN, CA
NPI
1215472949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005613)
Enumeration Date
2017-01-04
Last Update Date
2017-01-04
Business Address
-- BERNICE JANA JACOB FNP
17612 17TH ST
TUSTIN, CA 92780-1962
Phone number: 714-243-5450
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Mailing Address
-- BERNICE JANA JACOB FNP
914 HIBISCUS WAY
PLACENTIA, CA 92870-4716
Phone number: 714-422-7732
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