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Individual

LESLI CLOSE JUNCAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
1401 AVOCADO AVE STE 709, NEWPORT BEACH, CA 92660-8714
(949) 759-1720
(949) 759-1442
Mailing address
1401 AVOCADO AVE STE 709, NEWPORT BEACH, CA 92660-8714
(949) 759-1720
(949) 759-1442

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
13516
CA

Other

Enumeration date
03/19/2007
Last updated
09/10/2020
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