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Individual

DEBORAH AMEZCUA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
200 OCEANGATE STE 100, LONG BEACH, CA 90802-4317
(760) 718-5648
Mailing address
720 DREW RD, CALEXICO, CA 92231-9711

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95036949
CA

Other

Enumeration date
11/22/2025
Last updated
11/22/2025
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