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1841739950
DAEVRISSA JIMENEZ
SANTA ANA, CA
NPI
1841739950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004533)
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
-- DAEVRISSA JIMENEZ NP
1001 N TUSTIN AVE
SANTA ANA, CA 92705-3502
Phone number: 714-953-3500
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Mailing Address
-- DAEVRISSA JIMENEZ NP
1001 N TUSTIN AVE
SANTA ANA, CA 92705-3502
Phone number: 714-953-3500
Copy
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