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1205845096
PRASHANT VASANT PHATAK
LOMA LINDA, CA
NPI
1205845096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A74099)
Enumeration Date
2006-08-08
Last Update Date
2007-07-08
Business Address
Dr. PRASHANT VASANT PHATAK M.D.
VA LOMA LINDA 11201 BENTON ST, DEPT 111H
LOMA LINDA, CA 92357-0001
Phone number: 909-825-7084
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Mailing Address
Dr. PRASHANT VASANT PHATAK M.D.
VA LOMA LINDA 11201 BENTON ST, DEPT 111H
LOMA LINDA, CA 92357-0001
Phone number: 909-825-7084
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