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1073841201
BUULOC TAN LUU
COLTON, CA
NPI
1073841201
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA 20A10093)
Enumeration Date
2009-11-29
Last Update Date
2021-11-03
Business Address
Dr. BUULOC TAN LUU D.O.
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3470
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Mailing Address
Dr. BUULOC TAN LUU D.O.
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-580-3470
Copy
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