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1811627474
OGONNA MAVIS EZEANI
CULVER CITY, CA
NPI
1811627474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95280169)
Enumeration Date
2022-06-15
Last Update Date
2022-06-15
Business Address
OGONNA MAVIS EZEANI
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
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Mailing Address
OGONNA MAVIS EZEANI
9808 VENICE BLVD STE 700
CULVER CITY, CA 90232-6824
Phone number: 310-945-3350
Copy
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