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1114210515
MICHAEL MERCADO AMBAL
CORONA, CA
NPI
1114210515
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP20137)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
Mr. MICHAEL MERCADO AMBAL
1689 VIA SEVILLA ST
CORONA, CA 92881-0778
Phone number: 951-837-7918
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Mailing Address
Mr. MICHAEL MERCADO AMBAL
1689 VIA SEVILLA ST
CORONA, CA 92881-0778
Phone number: 951-837-7918
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