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1134290059
EDWARD S. DOMURAT JR.
HARBOR CITY, CA
NPI
1134290059
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: CA G56588)
Enumeration Date
2006-11-13
Last Update Date
2021-11-18
Business Address
EDWARD S. DOMURAT JR. MD
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111
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Mailing Address
EDWARD S. DOMURAT JR. MD
25825 VERMONT AVE
HARBOR CITY, CA 90710-3518
Phone number: 310-325-5111
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