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Individual

ALEXIS PURINO MANALO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
780 N TOWNE AVE, CLAREMONT, CA 91711-4186
(818) 605-7976
Mailing address
780 N TOWNE AVE, CLAREMONT, CA 91711-4186
(818) 605-7976

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95037521
CA

Other

Enumeration date
11/06/2025
Last updated
11/06/2025
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