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1811406168
EBONY NICOLE BANKHEAD
DOWNEY, CA
NPI
1811406168
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA F09171331)
Enumeration Date
2017-09-28
Last Update Date
2017-09-28
Business Address
EBONY NICOLE BANKHEAD FNP
11942 PARAMOUNT BLVD
DOWNEY, CA 90242-2306
Phone number: 562-923-6060
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Mailing Address
EBONY NICOLE BANKHEAD FNP
2670 HACKBERRY CIR
CHINO HILLS, CA 91709-3812
Phone number: 323-787-5381
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