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1295222990
MIRANDA AFIDAYI USONGO
LONG BEACH, CA
NPI
1295222990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95008106)
Enumeration Date
2018-04-18
Last Update Date
2018-04-18
Business Address
MIRANDA AFIDAYI USONGO
904 E PACIFIC COAST HWY
LONG BEACH, CA 90806-5626
Phone number: 562-444-0022
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Mailing Address
MIRANDA AFIDAYI USONGO
118 PROSPECT AVE APT 3
LONG BEACH, CA 90803-3024
Phone number:
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