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1407383631
CI SONG
ANAHEIM, CA
NPI
1407383631
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005437)
Enumeration Date
2017-05-18
Last Update Date
2024-07-26
Business Address
CI SONG
303 W LINCOLN AVE STE 105
ANAHEIM, CA 92805-2928
Phone number: 714-922-4100
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Mailing Address
CI SONG
303 W LINCOLN AVE STE 105
ANAHEIM, CA 92805-2928
Phone number: 714-922-4100
Copy
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