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1740726678
FIDELIS M SUMAMPONG
MISSION HILLS, CA
NPI
1740726678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95005655)
Enumeration Date
2017-01-17
Last Update Date
2021-12-06
Business Address
FIDELIS M SUMAMPONG N.P.
11333 SEPULVEDA BLVD
MISSION HILLS, CA 91345-1116
Phone number: 818-869-7254
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Mailing Address
FIDELIS M SUMAMPONG N.P.
PO BOX 9602
MISSION HILLS, CA 91346-9602
Phone number: 818-837-5559
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