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1255704276
ELLEN MUSAKWA
RIVERSIDE, CA
NPI
1255704276
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Entity Type
Organization
Authorized Contact
ELLEN MUSAKWA
Fnp
951-966-0193
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA 95003212)
Enumeration Date
2015-11-13
Last Update Date
2015-11-13
Business Address
ELLEN MUSAKWA
4121 BROCKTON AVE 104
RIVERSIDE, CA 92501-3442
Phone number: 951-778-0032
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Mailing Address
ELLEN MUSAKWA
37657 BRUTUS WAY
BEAUMONT, CA 92223-8056
Phone number:
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