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Organization
CARE REPUBLIC CCA LLC
Active
Organization
CARE REPUBLIC CCA LLC
Active
Other names
Care Republic CCA LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JEMALYNE PINO BUNO (OWNER)
(909) 317-8207
Entity
Organization
Contact information
Practice address
11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
(909) 317-8207
Mailing address
11175 AZUSA CT STE 110, RANCHO CUCAMONGA, CA 91730-4933
(909) 317-8207
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
11/27/2023
Last updated
12/13/2023
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