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Individual

ROSELYN DRAPIZA ILANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
MARINE CORPS AIR GROUND COMBAT CENTER, TWENTYNINE PALMS, CA 92277
(760) 830-7475
(760) 830-7476
Mailing address
PO BOX 788285, TWENTYNINE PALMS, CA 92278-8285
(760) 830-7475
(760) 830-7476

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
12/10/2007
Last updated
12/10/2007
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