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Individual

PERPETUA EBALULU OKOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4247
(562) 570-4099
Mailing address
PO BOX 92051, LONG BEACH, CA 90809-2051
(562) 505-7423

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
669332
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
20889
CA

Other

Enumeration date
02/05/2008
Last updated
09/01/2023
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