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1063772762
STANLEY JAMES SETIAWAN
FONTANA, CA
NPI
1063772762
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A119865)
Enumeration Date
2012-05-29
Last Update Date
2021-12-01
Business Address
Dr. STANLEY JAMES SETIAWAN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 188-875-0003
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Mailing Address
Dr. STANLEY JAMES SETIAWAN MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 188-875-0003
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