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1528715653
DOREEN DORA CHIBWETH
COSTA MESA, CA
NPI
1528715653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95019707)
Enumeration Date
2022-03-08
Last Update Date
2022-03-08
Business Address
DOREEN DORA CHIBWETH NP
3090 BRISTOL ST STE 200
COSTA MESA, CA 92626-3061
Phone number: 888-789-9585
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Mailing Address
DOREEN DORA CHIBWETH NP
2179 MANZANA WAY
SAN DIEGO, CA 92139-4018
Phone number: 161-931-6981
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