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1164470639
GHOLAMREZA VAFADOUSTE
TURLOCK, CA
NPI
1164470639
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: CA A79905)
Enumeration Date
2006-05-05
Last Update Date
2010-04-16
Business Address
Dr. GHOLAMREZA VAFADOUSTE MD
2141 COLORADO AVE
TURLOCK, CA 95382-2011
Phone number: 209-575-4575
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Mailing Address
Dr. GHOLAMREZA VAFADOUSTE MD
PO BOX 4398
MODESTO, CA 95352-4398
Phone number: 209-575-4575
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