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Individual

DR. ANTHONY PONCE DE LEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
420 MARATHON DR, CAMPBELL, CA 95008-0918
(408) 866-2027
(408) 866-0302
Mailing address
420 MARATHON DR, CAMPBELL, CA 95008-0918
(408) 866-2027
(408) 866-0302

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC36025
CA

Other

Enumeration date
02/10/2021
Last updated
02/19/2021
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