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1740848670
KOA WIER
SANTA ANA, CA
NPI
1740848670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95031900)
Enumeration Date
2019-06-05
Last Update Date
2024-10-04
Business Address
KOA WIER
999 N TUSTIN AVE STE G1
SANTA ANA, CA 92705-3528
Phone number: 714-545-5550
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Mailing Address
KOA WIER
3151 AIRWAY AVE STE G1
COSTA MESA, CA 92626-4624
Phone number: 714-545-5550
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