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Individual

MS. KRISTINE LYNE JABLONSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
101 S KRAEMER BLVD, SUITE 123, PLACENTIA, CA 92870-6105
(714) 524-0539
(714) 524-0539
Mailing address
3344 E DATE ST, BREA, CA 92823-6305
(714) 524-0539
(714) 524-0539

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
N296282
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
277
CA BRN REGISTERED
CA
Enumeration date
11/10/2006
Last updated
07/08/2007
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