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1316084312
SAM SOM
VICTORVILLE, CA
NPI
1316084312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 559654)
Enumeration Date
2007-01-31
Last Update Date
2014-07-16
Business Address
Mr. SAM SOM FNP-C
17330 BEAR VALLEY RD SUITE A 106
VICTORVILLE, CA 92395-7741
Phone number: 760-245-9999
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Mailing Address
Mr. SAM SOM FNP-C
17330 BEAR VALLEY RD SUITE A 106
VICTORVILLE, CA 92395-7741
Phone number: 760-245-9999
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