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1477010510
AFRIELLE FONDEVILLA
WEST COVINA, CA
NPI
1477010510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: CA 95010453)
Enumeration Date
2019-02-25
Last Update Date
2023-09-21
Business Address
AFRIELLE FONDEVILLA NP
1900 W GARVEY AVE S STE 166
WEST COVINA, CA 91790-2653
Phone number: 626-960-1402
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Mailing Address
AFRIELLE FONDEVILLA NP
1900 W GARVEY AVE S STE 166
WEST COVINA, CA 91790-2653
Phone number: 626-960-1402
Copy
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