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1467778696
DIANNE MITSUKO ITO
LOS ANGELES, CA
NPI
1467778696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: CA 457020)
Enumeration Date
2010-04-13
Last Update Date
2010-04-13
Business Address
Ms. DIANNE MITSUKO ITO PNP
4650 SUNSET BOULEVARD MAILSTOP #81
LOS ANGELES, CA 90027-0980
Phone number: 323-361-3033
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Mailing Address
Ms. DIANNE MITSUKO ITO PNP
PO BOX 3162
DANA POINT, CA 92629-8162
Phone number: 949-275-3265
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