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1124140686
FERNANDO ULLOA
SAN RAFAEL, CA
NPI
1124140686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: CA G49903)
Enumeration Date
2007-04-04
Last Update Date
2007-07-08
Business Address
Dr. FERNANDO ULLOA M.D.
711 D ST SUITE 113
SAN RAFAEL, CA 94901-3707
Phone number: 415-454-4100
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Mailing Address
Dr. FERNANDO ULLOA M.D.
PO BOX 1938
MILL VALLEY, CA 94942-1938
Phone number: 415-454-4100
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