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1639569247
EBONY NICOLE FUNCHES
VENICE, CA
NPI
1639569247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95002049)
Enumeration Date
2015-02-03
Last Update Date
2021-02-16
Business Address
Dr. EBONY NICOLE FUNCHES DNP, FNP-C, AG-ACNP
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636
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Mailing Address
Dr. EBONY NICOLE FUNCHES DNP, FNP-C, AG-ACNP
604 ROSE AVE
VENICE, CA 90291-2767
Phone number: 310-392-8636
Copy
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