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1225216393
EDUARDO MALVIN BUENO LACUNA
MODESTO, CA
NPI
1225216393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: CA A109359)
Enumeration Date
2008-01-31
Last Update Date
2016-10-03
Business Address
-- EDUARDO MALVIN BUENO LACUNA MD
1409 E BRIGGSMORE AVE
MODESTO, CA 95355-2707
Phone number: 209-524-1211
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Mailing Address
-- EDUARDO MALVIN BUENO LACUNA MD
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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