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1487129474
ALICIA KLAANYENE BRAVO
LONG BEACH, CA
NPI
1487129474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95010177)
Enumeration Date
2018-10-05
Last Update Date
2018-10-05
Business Address
ALICIA KLAANYENE BRAVO
3205 LONG BEACH BLVD
LONG BEACH, CA 90807-5038
Phone number: 562-618-0160
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Mailing Address
ALICIA KLAANYENE BRAVO
3205 LONG BEACH BLVD
LONG BEACH, CA 90807-5038
Phone number: 562-618-0160
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