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MYRA LUNTOK AGUIRRE-CARLOS MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1669575874

Individual Registrant:
 MYRA LUNTOK AGUIRRE-CARLOS MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1700 N WATERMAN AVE  SAN BERNARDINO, CA 92404-5115 US
Tel: 909-883-8611  Fax: 909-881-5707

Contact information for business:
1700 N WATERMAN AVE  SAN BERNARDINO, CA 92404-5115 US
Tel: 909-883-8611  Fax: 909-881-5707

Registration Information:
NPI: 1669575874
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MOT2005018390
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CAA104621

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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