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1073680880
MARK T. TAIRA
RIVERSIDE, CA
NPI
1073680880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: CA G80956)
Enumeration Date
2006-11-29
Last Update Date
2021-11-30
Business Address
MARK T. TAIRA MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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Mailing Address
MARK T. TAIRA MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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