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1013474790
MICHAEL MARINELLO
POMONA, CA
NPI
1013474790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95010321)
Enumeration Date
2019-02-28
Last Update Date
2019-02-28
Business Address
MICHAEL MARINELLO
255 E BONITA AVE
POMONA, CA 91767-1923
Phone number: 909-643-2980
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Mailing Address
MICHAEL MARINELLO
6426 KETTLE PEAK PL
RANCHO CUCAMONGA, CA 91737-6510
Phone number: 909-472-2678
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