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1811727712
JUDITH FONYUY KIBUH
SANTA ANA, CA
NPI
1811727712
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 95030563)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
JUDITH FONYUY KIBUH NP
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8714
Phone number: 855-434-7763
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Mailing Address
JUDITH FONYUY KIBUH NP
1609 PARKMOOR AVE APT 230
SAN JOSE, CA 95128-2425
Phone number:
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