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1043337173
IMAWATI BUDIHARDJO
LA JOLLA, CA
NPI
1043337173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RH0003X Internal Medicine Hematology & Oncology
(Licence: CA A84421)
Enumeration Date
2007-03-23
Last Update Date
2007-10-12
Business Address
IMAWATI BUDIHARDJO M.D., PH.D
3855 HEALTH SCIENCES DR # 0658
LA JOLLA, CA 92093-0987
Phone number: 858-822-6100
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Mailing Address
IMAWATI BUDIHARDJO M.D., PH.D
3855 HEALTH SCIENCES DRIVE ROOM 2016
LA JOLLA, CA 92093-0698
Phone number: 858-822-7916
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