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1205115680
THANGAVIJAYAN BOSEMANI
ORANGE, CA
NPI
1205115680
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA F5664)
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
-- THANGAVIJAYAN BOSEMANI MD
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: 714-456-7004
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Mailing Address
-- THANGAVIJAYAN BOSEMANI MD
PO BOX 513255
LOS ANGELES, CA 90051-3255
Phone number: 714-456-7004
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