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Individual

MR. CESAR PASCUAL PANGANIBAN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
30 E APPLE ST, STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205
Mailing address
30 E APPLE ST, STE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
(937) 208-4205

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.17204-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0128688
OH
Enumeration date
04/02/2015
Last updated
01/25/2016
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