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Individual
JEVANGELINE CO-VIVO
Active
Individual
JEVANGELINE CO-VIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95024255
CA
Other
Enumeration date
02/22/2023
Last updated
10/25/2024
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