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1154372951
INDRA DE
STOCKTON, CA
NPI
1154372951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: CA C52396)
Enumeration Date
2006-05-15
Last Update Date
2022-07-10
Business Address
INDRA DE MD, PhD
1800 N CALIFORNIA ST
STOCKTON, CA 95204-6019
Phone number: 209-943-2000
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Mailing Address
INDRA DE MD, PhD
3905 GLEN ABBY CIR
STOCKTON, CA 95219-1800
Phone number: 209-462-9100
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