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1255873717
DARLENE MULYANTO-MONG
LOS ANGELES, CA
NPI
1255873717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 95004975)
Enumeration Date
2016-11-14
Last Update Date
2022-09-28
Business Address
DARLENE MULYANTO-MONG
1500 SAN PABLO ST
LOS ANGELES, CA 90033-5313
Phone number: 800-872-2273
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Mailing Address
DARLENE MULYANTO-MONG
336 N ISABEL ST APT 7
GLENDALE, CA 91206-3675
Phone number:
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