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1124574512
LAURA M BANUELOS
RANCHO CUCAMONGA, CA
NPI
1124574512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2016-08-26
Last Update Date
2022-12-05
Business Address
LAURA M BANUELOS
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730-5871
Phone number: 909-980-6700
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Mailing Address
LAURA M BANUELOS
24028 LAKE DR
CRESTLINE, CA 92325
Phone number: 909-338-3222
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