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1275635013
NANCY J COUNCELBAUM
IRVINE, CA
NPI
1275635013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA G57005)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- NANCY J COUNCELBAUM MD
16300 SAND CANYON AVE 311
IRVINE, CA 92618-3711
Phone number: 949-753-7475
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Mailing Address
-- NANCY J COUNCELBAUM MD
16300 SAND CANYON AVE 311
IRVINE, CA 92618-3711
Phone number: 949-753-7475
Copy
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