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1114117470
CLYDE JAMES BURGESS
TEMECULA, CA
NPI
1114117470
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2007-08-01
Last Update Date
2007-08-01
Business Address
CLYDE JAMES BURGESS MSO
31616 LOMA LINDA RD
TEMECULA, CA 92592-1639
Phone number: 951-265-6552
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Mailing Address
CLYDE JAMES BURGESS MSO
31616 LOMA LINDA RD
TEMECULA, CA 92592-1639
Phone number: 951-265-6552
Copy
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