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1902816085
LEON ALFRED SANTA CRUZ
ONTARIO, CA
NPI
1902816085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA10558)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Mr. LEON ALFRED SANTA CRUZ PA
3200 INLAND EMPIRE BLVD.
ONTARIO, CA 91764
Phone number: 909-945-5011
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Mailing Address
Mr. LEON ALFRED SANTA CRUZ PA
12740 WINDSTAR DR.
RANCHO CUCAMONGA, CA 91739
Phone number: 909-463-9952
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