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1558052159
EMMANUEL IFEMAZI
GARDENA, CA
NPI
1558052159
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95025107)
Enumeration Date
2023-05-16
Last Update Date
2024-01-31
Business Address
EMMANUEL IFEMAZI PMHNP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 877-515-8113
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Mailing Address
EMMANUEL IFEMAZI PMHNP
1225 W 190TH ST STE 280
GARDENA, CA 90248-4305
Phone number: 877-515-8113
Copy
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