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1629514153
MICAH JAMES WELLER
POMONA, CA
NPI
1629514153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95005719)
Enumeration Date
2017-01-08
Last Update Date
2020-02-12
Business Address
Mr. MICAH JAMES WELLER FNP
1880 N ORANGE GROVE AVE
POMONA, CA 91767-3006
Phone number: 909-620-7200
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Mailing Address
Mr. MICAH JAMES WELLER FNP
840 TOWNE CENTER DR
POMONA, CA 91767-5900
Phone number: 909-398-1550
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