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1104146166
MICHELLE PENUELAS
FONTANA, CA
NPI
1104146166
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: CA 19462)
Enumeration Date
2010-06-01
Last Update Date
2021-11-30
Business Address
-- MICHELLE PENUELAS NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5539
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Mailing Address
-- MICHELLE PENUELAS NP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5539
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