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Individual

IAN GABRIEL AUSTRIA MOJICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278-8275
(760) 830-2724
Mailing address
1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278-8275

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95026177
CA

Other

Enumeration date
01/30/2023
Last updated
05/06/2025
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