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1609224708
MARK CHRISTIAN SAMPANG
CERRITOS, CA
NPI
1609224708
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004292)
Enumeration Date
2016-05-31
Last Update Date
2017-01-03
Business Address
-- MARK CHRISTIAN SAMPANG
19706 RAY CIR
CERRITOS, CA 90703-7546
Phone number: 562-805-8229
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Mailing Address
-- MARK CHRISTIAN SAMPANG
12900 PARK PLAZA DR STE 150
CERRITOS, CA 90703-9329
Phone number: 562-207-0139
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