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Individual

MAUREEN ONYEGBULEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-3948
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95111167
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95020664
CA

Other

Enumeration date
03/01/2022
Last updated
02/26/2025
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