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1972104602
MIREYA CANCHOLA
EL CENTRO, CA
NPI
1972104602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP95014984)
Enumeration Date
2020-11-09
Last Update Date
2020-11-09
Business Address
MIREYA CANCHOLA FNP
1415 ROSS AVE. SUNFLOWER CT.
EL CENTRO, CA 92243-9224
Phone number: 760-339-7100
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Mailing Address
MIREYA CANCHOLA FNP
3535 SUNFLOWER CT
EL CENTRO, CA 92243-8425
Phone number: 760-840-8004
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