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Individual

LENAH KEBASO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
40 NEWBURN CT, BEAUMONT, CA 92223-3130
(909) 556-1300
Mailing address
306 STELLER DR, BEAR, DE 19701-4920
(951) 524-8502

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
95050338
CA

Other

Enumeration date
06/13/2017
Last updated
04/28/2026
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