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Individual
MICHAEL JOHN PANCHO BUNAG
Active
Individual
MICHAEL JOHN PANCHO BUNAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
95016175
CA
363L00000X
Nurse Practitioner
Primary
95016175
CA
Other
Enumeration date
01/05/2021
Last updated
09/27/2023
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