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1407695257
LAURA PONCE BERNAL
FONTANA, CA
NPI
1407695257
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: CA 95030186)
Enumeration Date
2024-05-22
Last Update Date
2024-05-22
Business Address
LAURA PONCE BERNAL NP
9792 SIERRA AVE
FONTANA, CA 92335-6717
Phone number: 909-434-6000
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Mailing Address
LAURA PONCE BERNAL NP
23789 SUNCREST AVE
MORENO VALLEY, CA 92553-3287
Phone number: 951-442-8621
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