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1003987991
ROBERT M. THEAL
FONTANA, CA
NPI
1003987991
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G55100)
Enumeration Date
2006-11-13
Last Update Date
2021-12-01
Business Address
ROBERT M. THEAL MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
ROBERT M. THEAL MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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