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Individual

MS. CHERYL ROLLINS-ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12970 3RD ST, CHINO, CA 91710-3464
(909) 628-1201
(909) 548-6046
Mailing address
5130 RIVERSIDE DR, MAA/LEA/EPSDT PROGRAMS, CHINO, CA 91710-4130
(909) 628-1201
(909) 548-6046

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/10/2011
Last updated
05/10/2011
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