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1952969008
IFEATU B ENEMMUO
CONCORD, CA
NPI
1952969008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95011649)
Enumeration Date
2019-06-04
Last Update Date
2019-08-07
Business Address
Dr. IFEATU B ENEMMUO PMHNP
1333 WILLOW PASS RD STE 102
CONCORD, CA 94520-5225
Phone number: 925-825-1793
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Mailing Address
Dr. IFEATU B ENEMMUO PMHNP
4883 SNOWY EGRET WAY
OAKLEY, CA 94561-1697
Phone number: 925-642-2039
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