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1174805279
SOURAV DAS
VICTORVILLE, CA
NPI
1174805279
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: PA MT200714)
Enumeration Date
2011-09-14
Last Update Date
2020-10-05
Business Address
SOURAV DAS M.D.
12408 HESPERIA RD STE 21
VICTORVILLE, CA 92395-7718
Phone number: 760-553-7000
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Mailing Address
SOURAV DAS M.D.
12408 HESPERIA RD STE 21
VICTORVILLE, CA 92395-7718
Phone number: 760-553-7000
Copy
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