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Individual

ALEXIS TELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C, MPH

Contact information

Practice address
400 N PEPPER AVE, COLTON, CA 92324-1801
(909) 267-0910
Mailing address
PO BOX 8520, REDLANDS, CA 92375-1720

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
20449
CA

Other

Enumeration date
08/21/2009
Last updated
10/25/2024
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