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1235897190
JENNIFER N/A LUONG
TUSTIN, CA
NPI
1235897190
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95019306)
Enumeration Date
2021-12-07
Last Update Date
2022-01-06
Business Address
JENNIFER N/A LUONG NP
1422 EDINGER AVE STE 130
TUSTIN, CA 92780-6298
Phone number: 714-628-9342
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Mailing Address
JENNIFER N/A LUONG NP
1422 EDINGER AVE STE 130
TUSTIN, CA 92780-6298
Phone number: 714-628-9342
Copy
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