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1114977865
ELLEN DECONINCK
MOUNTAIN VIEW, CA
NPI
1114977865
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: CA A79762)
Enumeration Date
2006-05-12
Last Update Date
2011-11-30
Business Address
-- ELLEN DECONINCK MD
701 E EL CAMINO REAL
MOUNTAIN VIEW, CA 94040-2833
Phone number: 650-934-7676
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Mailing Address
-- ELLEN DECONINCK MD
2350 W EL CAMINO REAL 2ND FLOOR
MOUNTAIN VIEW, CA 94040-6203
Phone number:
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