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1174721856
DAVID S FANKUSHEN
SAN RAFAEL, CA
NPI
1174721856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA GFE10777)
Enumeration Date
2007-07-05
Last Update Date
2007-07-08
Business Address
Dr. DAVID S FANKUSHEN M.D.
12 RITTER ST
SAN RAFAEL, CA 94912
Phone number: 415-457-8182
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Mailing Address
Dr. DAVID S FANKUSHEN M.D.
16 RITTER ST
SAN RAFAEL, CA 94901-3323
Phone number: 415-457-8182
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