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1578093050
BARIASA CAROLINE KANABOLO
RIVERSIDE, CA
NPI
1578093050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95006727)
Enumeration Date
2017-06-15
Last Update Date
2018-03-17
Business Address
BARIASA CAROLINE KANABOLO PMHNP
9890 COUNTY FARM RD BLDG 2
RIVERSIDE, CA 92503-3505
Phone number: 951-509-2499
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Mailing Address
BARIASA CAROLINE KANABOLO PMHNP
8498 DAISY LN
RIVERSIDE, CA 92508-7103
Phone number:
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