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Individual
ERIC MANBOSSIA
Active
Individual
ERIC MANBOSSIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
837552
CA
363L00000X
Nurse Practitioner
Primary
NPF95015453
CA
Other
Enumeration date
02/17/2016
Last updated
07/10/2021
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