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Individual
JACKLINE CHUMO
Active
Individual
JACKLINE CHUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
W1363946
CA
363LF0000X
Family Nurse Practitioner
95027098
CA
Other
Enumeration date
03/29/2023
Last updated
10/20/2025
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