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1548924012
CANDY GRACE JACOME DE GUZMAN
GARDEN GROVE, CA
NPI
1548924012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 950174472)
Enumeration Date
2021-10-29
Last Update Date
2021-10-29
Business Address
CANDY GRACE JACOME DE GUZMAN
12681 HASTER ST
GARDEN GROVE, CA 92840-6040
Phone number: 714-971-2153
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Mailing Address
CANDY GRACE JACOME DE GUZMAN
12681 HASTER ST
GARDEN GROVE, CA 92840-6040
Phone number: 714-971-2153
Copy
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