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1073830089
MARIO CORONA
WEST COVINA, CA
NPI
1073830089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA16239)
Enumeration Date
2010-04-29
Last Update Date
2010-04-29
Business Address
-- MARIO CORONA P-A
714 N ORANGE AVE
WEST COVINA, CA 91790-1101
Phone number: 323-265-3060
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Mailing Address
-- MARIO CORONA P-A
714 N ORANGE AVE
WEST COVINA, CA 91790-1101
Phone number: 323-265-3060
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