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Individual

EDGARDO ALFARO PANGILINAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRT,RRT(R)

Contact information

Practice address
3851 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-5565
Mailing address
445 ELLA LN, SAN DIEGO, CA 92114-5700
(619) 501-8482

Taxonomy

Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
75763
CA

Other

Enumeration date
03/13/2007
Last updated
07/08/2007
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