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1568641868
IVY NJOLOMA
FONTANA, CA
NPI
1568641868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LC0200X Nurse Practitioner, Critical Care Medicine
(Licence: CA 450230)
Enumeration Date
2007-11-02
Last Update Date
2007-11-02
Business Address
-- IVY NJOLOMA
14248 SAN BENITO CT
FONTANA, CA 92336-3781
Phone number: 909-427-0218
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Mailing Address
-- IVY NJOLOMA
14248 SAN BENITO CT
FONTANA, CA 92336-3781
Phone number:
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