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Individual

ANGEL MULYONO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1669 HARDT ST, LOMA LINDA, CA 92354-1720
(909) 633-9322
Mailing address
1669 HARDT ST, LOMA LINDA, CA 92354-1720

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT3428
CA

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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