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1932142544
KEIKO LILLY MIMURA
LOS ANGELES, CA
NPI
1932142544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: CA 14487)
Enumeration Date
2006-06-13
Last Update Date
2013-05-21
Business Address
-- KEIKO LILLY MIMURA MSN, APRN, BC
11500 NIMITZ AVE
LOS ANGELES, CA 90049-3566
Phone number: 424-832-8368
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Mailing Address
-- KEIKO LILLY MIMURA MSN, APRN, BC
11500 NIMITZ AVE
LOS ANGELES, CA 90049-3566
Phone number: 424-832-8368
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