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Individual
JOVANNA KINGSBY
Active
Individual
JOVANNA KINGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
702184
CA
164X00000X
Licensed Vocational Nurse
Primary
702184
CA
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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