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1306905922
STEPHEN DE VITA
PANORAMA CITY, CA
NPI
1306905922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A71103)
Enumeration Date
2006-12-08
Last Update Date
2021-11-30
Business Address
STEPHEN DE VITA MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
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Mailing Address
STEPHEN DE VITA MD
13652 CANTARA ST
PANORAMA CITY, CA 91402-5423
Phone number: 818-375-2000
Copy
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