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Madeline Tampubolon

NPI 1205381480 · on the registry since 2016 · sole proprietor

Practice

Address
13192 Lambrusco Ct
Rancho Cucamonga, CA 91739
Phone
(909) 549-0561

Registry record

Primary taxonomy
2355S0801X
2355S0801X
Sex
Female
Record last updated
2016-08-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California