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1699415620
KATHLENE MANIMTIM NGUYEN
FONTANA, CA
NPI
1699415620
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Former Name
KATHLENE VILLEGAS MANIMTIM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 95020377)
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
KATHLENE MANIMTIM NGUYEN
7159 MYRTLE PL
FONTANA, CA 92336-5706
Phone number: 619-415-9181
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Mailing Address
KATHLENE MANIMTIM NGUYEN
7159 MYRTLE PL
FONTANA, CA 92336-5706
Phone number: 619-415-9181
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