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Individual

SUSAN G. AQUINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1177 N PARK AVE, POMONA, CA 91768-3028
(909) 623-9900
Mailing address
2630 POINTER DR, WALNUT, CA 91789-3561
(909) 595-6272

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
17932
CA

Other

Enumeration date
01/25/2008
Last updated
01/25/2008
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