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1417477860
JENNIFER PONGPUNGAM
LANCASTER, CA
NPI
1417477860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: CA 542305)
Enumeration Date
2017-06-26
Last Update Date
2017-06-26
Business Address
Ms. JENNIFER PONGPUNGAM RN
335 E AVENUE I STE 24
LANCASTER, CA 93535-1916
Phone number: 661-471-4561
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Mailing Address
Ms. JENNIFER PONGPUNGAM RN
335 E AVENUE I
LANCASTER, CA 93535-1916
Phone number: 661-471-4360
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