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1821552365
FANTA MBOKA
CERES, CA
NPI
1821552365
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA 739503)
Enumeration Date
2019-01-29
Last Update Date
2019-01-29
Business Address
FANTA MBOKA
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number: 209-300-8800
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Mailing Address
FANTA MBOKA
4211 MOTIF CT
TURLOCK, CA 95382-7399
Phone number:
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