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1831561448
HAWANATU FOFANAH
ONTARIO, CA
NPI
1831561448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 14373)
Enumeration Date
2015-10-21
Last Update Date
2015-10-21
Business Address
-- HAWANATU FOFANAH NP
437 N EUCLID AVE
ONTARIO, CA 91762-3456
Phone number: 310-740-2122
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Mailing Address
-- HAWANATU FOFANAH NP
11210 4TH ST APT.2119
RANCHO CUCAMONGA, CA 91730-6042
Phone number: 310-740-2122
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