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Organization

ALA-NGWA AMERICAN ENT.INC.

Active
Other names
ADELANTO MEDICAL CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ONYENKWERE OKWU OKWANDU RN, PH.D. (OFFICE MANAGER)
(760) 246-9555
Entity
Organization

Contact information

Practice address
11678 RANCHO RD, ADELANTO, CA 92301-2700
(760) 246-9555
(760) 246-9115
Mailing address
11678 RANCHO RD, ADELANTO, CA 92301-2700
(760) 246-9555
(760) 246-9115

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G77049
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G770491
CA
Enumeration date
11/17/2005
Last updated
06/28/2010
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