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1811103674
JAYNE ALISON PHELAN
VENTURA, CA
NPI
1811103674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 16842)
Enumeration Date
2007-05-15
Last Update Date
2007-07-08
Business Address
-- JAYNE ALISON PHELAN FNP
363 S WAKE FOREST AVE
VENTURA, CA 93003-4248
Phone number: 805-644-4826
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Mailing Address
-- JAYNE ALISON PHELAN FNP
363 S WAKE FOREST AVE
VENTURA, CA 93003-4248
Phone number: 805-644-4826
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