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1770205106
DARYL PONCE PARUNGAO
JOHNSON CITY, TN
NPI
1770205106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
Prof. DARYL PONCE PARUNGAO
325 N STATE OF FRANKLIN RD FL 2
JOHNSON CITY, TN 37604-6092
Phone number: 423-439-7280
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Mailing Address
Prof. DARYL PONCE PARUNGAO
818 LAMONT ST APT 1
JOHNSON CITY, TN 37604-5466
Phone number: 573-544-6680
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