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Individual

MR. FABRICIO MUNDO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
19887 NORTHCLIFF DR, CANYON COUNTRY, CA 91351
(661) 313-0546
(775) 806-0374
Mailing address
19887 NORTHCLIFF DRIVE, CANYON COUNTRY, CA 91351
(661) 313-0546
(775) 806-0374

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary

Other

Enumeration date
10/31/2012
Last updated
10/31/2012
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