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1629330436
JEFFREY WONOPRABOWO
LOMA LINDA, CA
NPI
1629330436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A126969)
Enumeration Date
2012-06-08
Last Update Date
2024-10-25
Business Address
Dr. JEFFREY WONOPRABOWO M.D.
11234 ANDERSON ST GME OFFICE CSP 21005
LOMA LINDA, CA 92350-1716
Phone number: 909-558-7263
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Mailing Address
Dr. JEFFREY WONOPRABOWO M.D.
11234 ANDERSON ST GME OFFICE CSP 21005
LOMA LINDA, CA 92350-1716
Phone number: 909-558-7263
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