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1235722398
AMPORA LIANA GONZALES
FONTANA, CA
NPI
1235722398
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA 95016907)
Enumeration Date
2021-02-18
Last Update Date
2023-10-27
Business Address
AMPORA LIANA GONZALES
16485 FREESIA CT
FONTANA, CA 92336-1465
Phone number: 909-714-1613
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Mailing Address
AMPORA LIANA GONZALES
16485 FREESIA CT
FONTANA, CA 92336-1465
Phone number: 909-714-1613
Copy
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