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Individual
LINDA FONJU
Active
Individual
LINDA FONJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R204826
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1038980
DC
Other
Enumeration date
11/19/2017
Last updated
03/04/2020
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