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1659066314
MARVIN LOUIE SUNPONGCO
HUNTINGTON BEACH, CA
NPI
1659066314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: CA 95024557)
Enumeration Date
2023-04-10
Last Update Date
2023-08-02
Business Address
MARVIN LOUIE SUNPONGCO PMHNP
5888 EDINGER AVE
HUNTINGTON BEACH, CA 92649-1705
Phone number: 714-716-2900
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Mailing Address
MARVIN LOUIE SUNPONGCO PMHNP
5888 EDINGER AVE
HUNTINGTON BEACH, CA 92649-1705
Phone number: 714-716-2900
Copy
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