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1053428334
MADE SUTJITA
MORENO VALLEY, CA
NPI
1053428334
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CA A77694)
Enumeration Date
2006-08-24
Last Update Date
2015-06-13
Business Address
-- MADE SUTJITA M.D.
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5700
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Mailing Address
-- MADE SUTJITA M.D.
PO BOX 7270
MORENO VALLEY, CA 92552-7270
Phone number: 951-656-1500
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