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1285088369
JACKIE IRENE NEMBO KOM
SAN DIEGO, CA
NPI
1285088369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95002893)
Enumeration Date
2016-04-14
Last Update Date
2021-10-12
Business Address
JACKIE IRENE NEMBO KOM APRN, AGPCNP-BC,
17809 KACHINA CT
SAN DIEGO, CA 92127-1368
Phone number: 619-261-6328
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Mailing Address
JACKIE IRENE NEMBO KOM APRN, AGPCNP-BC,
17809 KACHINA CT
SAN DIEGO, CA 92127-1368
Phone number: 619-261-6328
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