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1871073411
JISHA PANGOTTIL
ONTARIO, CA
NPI
1871073411
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP95009215)
Enumeration Date
2018-08-14
Last Update Date
2018-08-14
Business Address
JISHA PANGOTTIL
2295 S VINEYARD AVE
ONTARIO, CA 91761-7925
Phone number: 909-724-3940
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Mailing Address
JISHA PANGOTTIL
2295 S VINEYARD AVE
ONTARIO, CA 91761-7925
Phone number:
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