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1902353451
BRITTANY LANG BONGGA
FONTANA, CA
NPI
1902353451
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 95004741)
Enumeration Date
2016-09-01
Last Update Date
2022-04-25
Business Address
Mrs. BRITTANY LANG BONGGA NP
17051 SIERRA LAKES PKWY STE 101
FONTANA, CA 92336-1274
Phone number: 909-428-2040
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Mailing Address
Mrs. BRITTANY LANG BONGGA NP
3400 DATA DR CREDENTIALING DEPARTMENT
RANCHO CORDOVA, CA 95670-7956
Phone number:
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