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1083699375
SHERN SIRISUK
RIVERSIDE, CA
NPI
1083699375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A8735)
Enumeration Date
2005-12-09
Last Update Date
2010-12-30
Business Address
-- SHERN SIRISUK DO
6405 DAY ST
RIVERSIDE, CA 92507-0901
Phone number: 951-697-5450
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Mailing Address
-- SHERN SIRISUK DO
3660 ARLINGTON AVE
RIVERSIDE, CA 92506-3912
Phone number: 951-782-5110
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