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MARLYNE ABON NURSE PRACTITIONER

>> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1982003604

Individual Registrant:
 MARLYNE  ABON NURSE PRACTITIONER
Gender: F
Sole Proprietor

Location and contact information for practice:
69175 RAMON RD BLDG A  CATHEDRAL CITY, CA 92234-3344 US
Tel: 760-321-6776  Fax: --

Contact information for business:
3938 E CAMINO SAN SIMEON  PALM SPRINGS, CA 92264-1310 US
Tel: 760-832-9344  Fax: --

Registration Information:
NPI: 1982003604
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363L00000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA95000981

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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