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1780374900
EZINWANYI GIFT MARK
RIVERSIDE, CA
NPI
1780374900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95023172)
Enumeration Date
2023-05-10
Last Update Date
2023-05-10
Business Address
EZINWANYI GIFT MARK
9990 COUNTY FARM RD
RIVERSIDE, CA 92503-3542
Phone number: 951-358-3610
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Mailing Address
EZINWANYI GIFT MARK
8237 HIGHRIDGE PL
RANCHO CUCAMONGA, CA 91730-3170
Phone number: 626-215-4361
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