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1417582628
STACY MORAA OMBOGO
FRESNO, CA
NPI
1417582628
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 282878)
Enumeration Date
2020-03-08
Last Update Date
2020-03-08
Business Address
STACY MORAA OMBOGO
7166 N FRUIT AVE APT 120
FRESNO, CA 93711-0744
Phone number: 559-972-7489
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Mailing Address
STACY MORAA OMBOGO
7166 N FRUIT AVE APT 120
FRESNO, CA 93711-0744
Phone number: 559-972-7489
Copy
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