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1508240862
MAYRA CARBONI
EL CENTRO, CA
NPI
1508240862
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95002659)
Enumeration Date
2015-07-16
Last Update Date
2016-02-12
Business Address
-- MAYRA CARBONI N.P.
1415 ROSS AVE
EL CENTRO, CA 92243-4306
Phone number: 760-339-7254
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Mailing Address
-- MAYRA CARBONI N.P.
686 BAHIA ST
IMPERIAL, CA 92251-8002
Phone number: 760-996-1452
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