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1497348304
JERIE MAE IBALE
LONG BEACH, CA
NPI
1497348304
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95014911)
Enumeration Date
2021-02-11
Last Update Date
2021-02-11
Business Address
JERIE MAE IBALE
5901 E 7TH ST
LONG BEACH, CA 90822-5201
Phone number: 562-826-8000
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Mailing Address
JERIE MAE IBALE
5421 ASHWORTH ST
LAKEWOOD, CA 90712-1330
Phone number: 562-682-1028
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