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1457037558
QUINCY JADE CORNELL
GARDENA, CA
NPI
1457037558
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95023914)
Enumeration Date
2023-06-23
Last Update Date
2023-09-04
Business Address
QUINCY JADE CORNELL
1225 W 190TH STREET SUITE 280
GARDENA, CA 90248-2820
Phone number: 877-515-8113
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Mailing Address
QUINCY JADE CORNELL
663 CAMBRIDGE ST
SAN FRANCISCO, CA 94134-1637
Phone number: 415-203-6169
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