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1235968785
JACQUELINE NICOLE MOURRA
LOS ANGELES, CA
NPI
1235968785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 2023153882)
Enumeration Date
2024-07-31
Last Update Date
2024-11-19
Business Address
JACQUELINE NICOLE MOURRA FNP
2100 W 3RD ST
LOS ANGELES, CA 90057-1944
Phone number: 888-499-9303
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Mailing Address
JACQUELINE NICOLE MOURRA FNP
4542 W IMPERIAL HWY APT C
INGLEWOOD, CA 90304-2745
Phone number:
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