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1417370065
CHARLOTTE CAPULONG
GLENDORA, CA
NPI
1417370065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA NP23824)
Enumeration Date
2014-01-31
Last Update Date
2014-01-31
Business Address
CHARLOTTE CAPULONG NP-C
130 WEST ROUTE 66 STE 326
GLENDORA, CA 91740-6252
Phone number: 626-963-8588
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Mailing Address
CHARLOTTE CAPULONG NP-C
PO BOX 457
SAN DIMAS, CA 91773-0457
Phone number: 909-971-9334
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