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1215207048
RANDY FANOUS
SAN DIEGO, CA
NPI
1215207048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA A118896)
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
Mr. RANDY FANOUS M.D
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 858-657-7000
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Mailing Address
Mr. RANDY FANOUS M.D
16161 GALLATIN ST
FOUNTAIN VALLEY, CA 92708-1439
Phone number: 714-864-0941
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