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1407651219
JERRY ANN BALBOA GUMABON
LAS VEGAS, NV
NPI
1407651219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NV 824950)
Enumeration Date
2025-02-17
Last Update Date
2025-06-14
Business Address
JERRY ANN BALBOA GUMABON
5216 BOULDER HWY
LAS VEGAS, NV 89122-6074
Phone number: 702-547-6764
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Mailing Address
JERRY ANN BALBOA GUMABON
5216 BOULDER HWY
LAS VEGAS, NV 89122-6074
Phone number: 702-547-6764
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