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1013196575
MICHAEL D GENTRY
COLTON, CA
NPI
1013196575
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A75740)
Enumeration Date
2007-10-31
Last Update Date
2009-01-20
Business Address
-- MICHAEL D GENTRY MD
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 909-580-1520
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Mailing Address
-- MICHAEL D GENTRY MD
PO BOX 26060
FRESNO, CA 93729-6060
Phone number: 559-455-4000
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