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1609335512
MINA MAXIMOUS
FONTANA, CA
NPI
1609335512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-03-19
Last Update Date
2021-12-06
Business Address
Dr. MINA MAXIMOUS DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-5000
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Mailing Address
Dr. MINA MAXIMOUS DO
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number:
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