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1114900610
VIRGILIO CUSTODIO PANGANIBAN
BELLFLOWER, CA
NPI
1114900610
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A34146)
Enumeration Date
2005-11-29
Last Update Date
2022-12-27
Business Address
Dr. VIRGILIO CUSTODIO PANGANIBAN M.D.
16704 CLARK AVE
BELLFLOWER, CA 90706-5204
Phone number: 562-925-7033
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Mailing Address
Dr. VIRGILIO CUSTODIO PANGANIBAN M.D.
16704 CLARK AVE
BELLFLOWER, CA 90706-5204
Phone number: 562-925-7033
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