Provider Information for 1568591550
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Ms. PAULA REUTER FUENTES
Sex: Female
NPI: 1568591550
Last Updated: 2014-01-14
Certification Date:
Certification Date:
Details
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NPI | 1568591550 | ||||||||
Enumeration Date | 2007-03-05 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 160 S 7TH AVE LA PUENTE, CA 91746-3211 United States Phone: 626-961-8971 | Fax: | ||||||||
Primary Practice Address | 160 S 7TH AVE LA PUENTE, CA 91746-3211 United States Phone: 626-961-8971 | Fax: | ||||||||
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