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Individual

DENISE NICOLE MAGALLANES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
141 N ARROWHEAD AVE, SAN BERNARDINO, CA 92408
(909) 963-5355
Mailing address
12240 HESPERIA RD, VICTORVILLE, CA 92395-8309
(760) 245-8837

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/02/2018
Last updated
07/16/2018
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