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1215168653
IRMGARD UNA TACKIE
FONTANA, CA
NPI
1215168653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A118539)
Enumeration Date
2009-08-03
Last Update Date
2021-12-08
Business Address
IRMGARD UNA TACKIE MD
15290 SUMMIT AVE SUITE B
FONTANA, CA 92336-0240
Phone number: 909-225-1900
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Mailing Address
IRMGARD UNA TACKIE MD
16096 PITZER ST
FONTANA, CA 92336-4530
Phone number: 865-591-1988
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