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Individual
FERNAND BAMBA TARUC
Active
Individual
FERNAND BAMBA TARUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
95012147
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95012147
CA
Other
Enumeration date
06/24/2007
Last updated
04/29/2025
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