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1265007579
MARILYN VIVICA EVANS
SANTA MONICA, CA
NPI
1265007579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner Primary Care
(Licence: CA 95114161)
Enumeration Date
2021-05-20
Last Update Date
2021-05-26
Business Address
MARILYN VIVICA EVANS FNP-BC
1250 16TH ST
SANTA MONICA, CA 90404-1249
Phone number: 424-259-9440
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Mailing Address
MARILYN VIVICA EVANS FNP-BC
2415 MOHAWK ST
PASADENA, CA 91107-4202
Phone number: 323-346-7107
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