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1144251067
SAMUEL ANTONIO BOLIVAR
SAN BERNARDINO, CA
NPI
1144251067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A41590)
Enumeration Date
2006-07-06
Last Update Date
2023-04-27
Business Address
Dr. SAMUEL ANTONIO BOLIVAR MD
555 N D ST SUITE 130
SAN BERNARDINO, CA 92401-1305
Phone number: 909-888-8154
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Mailing Address
Dr. SAMUEL ANTONIO BOLIVAR MD
3410 LA SIERRA AVE # F369
RIVERSIDE, CA 92503-5270
Phone number: 909-888-8154
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