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1265659247
KENYAWN JUDEA SIMMONS
BURBANK, CA
NPI
1265659247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95021826)
Enumeration Date
2007-04-19
Last Update Date
2022-08-08
Business Address
KENYAWN JUDEA SIMMONS FNP-C
2501 W BURBANK BLVD
BURBANK, CA 91505-2347
Phone number: 818-856-9535
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Mailing Address
KENYAWN JUDEA SIMMONS FNP-C
38489 CLEARBROOK DR
MURRIETA, CA 92563-5882
Phone number: 707-694-0095
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