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1376887018
ALYSSA MARIE VAN BIBBER
POMONA, CA
NPI
1376887018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA22523)
Enumeration Date
2012-11-19
Last Update Date
2016-03-25
Business Address
-- ALYSSA MARIE VAN BIBBER PAC
1880 N ORANGE GROVE AVE
POMONA, CA 91767-3006
Phone number: 909-620-7200
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Mailing Address
-- ALYSSA MARIE VAN BIBBER PAC
840 TOWNE CENTER DR
POMONA, CA 91767-5900
Phone number: 909-398-1550
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