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Individual

GABRIELLE KEANA CAPORASO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN APRN

Contact information

Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92350-1716
(760) 953-0670
Mailing address
616 E SUNSET DR N, REDLANDS, CA 92373-6409
(760) 953-0670

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95236691
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95036866
CA

Other

Enumeration date
10/25/2021
Last updated
08/29/2025
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