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1356882286
KORA ANN JUCKEM
LA JOLLA, CA
NPI
1356882286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ AP9972)
Enumeration Date
2017-03-11
Last Update Date
2022-09-28
Business Address
KORA ANN JUCKEM NP
8950 VILLA LA JOLLA DR STE C217
LA JOLLA, CA 92037-1712
Phone number: 858-638-8125
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Mailing Address
KORA ANN JUCKEM NP
500 W. THOMAS ROAD STE 230
PHOENIX, AZ 85013
Phone number:
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