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1760787030
MARY EDEM
SAN BERNARDINO, CA
NPI
1760787030
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 20107)
Enumeration Date
2011-01-18
Last Update Date
2016-09-23
Business Address
-- MARY EDEM NP
190 E HIGHLAND AVE
SAN BERNARDINO, CA 92404-3658
Phone number: 909-882-4788
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Mailing Address
-- MARY EDEM NP
200 OCEANGATE SUITE 100
LONG BEACH, CA 90802-4317
Phone number: 562-499-6191
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