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1184625915
WILLIAM FENERTY
DIAMOND BAR, CA
NPI
1184625915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A4089)
Enumeration Date
2005-08-02
Last Update Date
2009-11-23
Business Address
-- WILLIAM FENERTY
1514 VALLEY VISTA DR
DIAMOND BAR, CA 91765-3929
Phone number: 714-449-4842
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Mailing Address
-- WILLIAM FENERTY
279 IMPERIAL HWY SUITE 730
FULLERTON, CA 92835-1041
Phone number: 714-449-4842
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