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Individual

ANDRES VILLALPANDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
452 OLD MAMMOTH RD SUIT 304, MAMMOTH LAKES, CA 93546
(760) 924-1740
Mailing address
PO BOX 2619, MAMMOTH LAKES, CA 93546-2619
(760) 924-1740
(760) 924-1741

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
01/30/2018
Last updated
01/30/2018
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