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1518739457
AGEWELL ADVANCED NURSING PRACTICE
IRVINE, CA
NPI
1518739457
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Entity Type
Organization
Authorized Contact
SIMONE KAUFMAN
Principal
562-357-2063
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2023-10-24
Last Update Date
2023-10-24
Business Address
AGEWELL ADVANCED NURSING PRACTICE
12 BAYBERRY WAY
IRVINE, CA 92612-2727
Phone number: 562-357-2063
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Mailing Address
AGEWELL ADVANCED NURSING PRACTICE
12 BAYBERRY WAY
IRVINE, CA 92612-2727
Phone number: 562-357-2063
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