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1972116812
DEREK ADU SARPONG
POMONA, CA
NPI
1972116812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: CA 390200000X)
Enumeration Date
2020-08-29
Last Update Date
2020-08-29
Business Address
DEREK ADU SARPONG
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
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Mailing Address
DEREK ADU SARPONG
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-6116
Copy
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