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1962664136
JUDY B WITTENBERG BRAVARD
LOS ANGELES, CA
NPI
1962664136
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: CA S292576)
Enumeration Date
2008-06-30
Last Update Date
2012-07-02
Business Address
-- JUDY B WITTENBERG BRAVARD CNP
11101 VENICE BLVD
LOS ANGELES, CA 90034-6914
Phone number: 310-840-5755
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Mailing Address
-- JUDY B WITTENBERG BRAVARD CNP
843 MICHELTORENA ST
LOS ANGELES, CA 90026-2701
Phone number: 323-664-7971
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