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1225449622
COLLINS BOAMPONG
RANCHO CUCAMONGA, CA
NPI
1225449622
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA NP950000655)
Enumeration Date
2014-05-19
Last Update Date
2020-10-19
Business Address
COLLINS BOAMPONG
10935 TERRA VISTA PKWY APT 244
RANCHO CUCAMONGA, CA 91730-6360
Phone number: 909-944-3205
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Mailing Address
COLLINS BOAMPONG
1805 MEDICAL CENTER DR
SAN BERNARDINO, CA 92411-1217
Phone number: 909-887-6333
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