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Elizabeth Rose Agramonte

NPI Registration Record

Provider / OrganizationNPIDate Certified
ELIZABETH ROSE AGRAMONTE19721058492020-11-14
Entity TypeIndividual
Provider Name Elizabeth Rose Agramonte
Practice Office Address255 E RINCON ST STE 219
CORONA, CA US
Practice Office Telephone7148341111
Mailing Address255 E RINCON ST STE 219
CORONA, CA 928791387 US
HPT Codes
CodeLicense NoState
106S00000X PRIMARY
OPI Codes

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