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1497275390
IVANA WYNN
ORANGE, CA
NPI
1497275390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95006800)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
IVANA WYNN
385 S MANCHESTER AVE UNIT 1110
ORANGE, CA 92868
Phone number: 562-743-2451
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Mailing Address
IVANA WYNN
385 S MANCHESTER AVE UNIT 1110
ORANGE, CA 92868-3243
Phone number:
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