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Individual

SOSEFINA TIVE NEPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1060 KAM HWY APT 102B, PEARL CITY, HI 96782-2840
(808) 358-1849
Mailing address
1060 KAM HWY APT 102B, PEARL CITY, HI 96782-2840
(808) 358-1849

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HI

Other

Enumeration date
04/18/2014
Last updated
04/18/2014
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