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1275502171
ISMAIL WADIWALA
MANTECA, CA
NPI
1275502171
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: CA A42925)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
-- ISMAIL WADIWALA md
210 N FREMONT ST
MANTECA, CA 95336-4725
Phone number: 209-823-1121
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Mailing Address
-- ISMAIL WADIWALA md
210 N FREMONT ST
MANTECA, CA 95336-4725
Phone number: 209-823-1121
Copy
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