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1629249859
TARA RITHAPORN AGENA
SAN BERNARDINO, CA
NPI
1629249859
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A97352)
Enumeration Date
2008-03-15
Last Update Date
2021-11-29
Business Address
Mrs. TARA RITHAPORN AGENA M.D.
565 N MOUNT VERNON AVE
SAN BERNARDINO, CA 92411-2661
Phone number: 909-884-9091
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Mailing Address
Mrs. TARA RITHAPORN AGENA M.D.
685 CARNEGIE DR SUITE 230
SAN BERNARDINO, CA 92408-3502
Phone number: 909-890-0407
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