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Individual
MS. JERUSALEM MAKONNEN
Active
Individual
MS. JERUSALEM MAKONNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8911
CA
363LF0000X
Family Nurse Practitioner
8911
CA
Other
Enumeration date
08/02/2006
Last updated
02/12/2024
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