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1962034199
JI EUN VONGPHOE
RANCHO CUCAMONGA, CA
NPI
1962034199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: CA NP95010302)
Enumeration Date
2020-02-05
Last Update Date
2020-02-05
Business Address
JI EUN VONGPHOE
12341 ALAMO DR
RANCHO CUCAMONGA, CA 91739-2290
Phone number: 323-829-5485
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Mailing Address
JI EUN VONGPHOE
12341 ALAMO DR
RANCHO CUCAMONGA, CA 91739-2290
Phone number: 323-829-5485
Copy
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