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Organization
NEPOMUCENO, MD, INC.
Active
Organization
NEPOMUCENO, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E NEPOMUCENO M.D. (PRESIDENT)
(530) 244-1003
Entity
Organization
Contact information
Practice address
15660 MIDDLETOWN PARK DR, REDDING, CA 96001-9794
(530) 244-1003
(530) 242-6027
Mailing address
PO BOX 994463, REDDING, CA 96099-4463
(530) 244-1003
(530) 242-6026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C50728
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094270
—
CA
Enumeration date
08/26/2006
Last updated
11/01/2011
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