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1336396548
BRENITTA GILLIAM-UDO
SAN BERNARDINO, CA
NPI
1336396548
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA 15518)
Enumeration Date
2008-08-20
Last Update Date
2008-08-20
Business Address
Mrs. BRENITTA GILLIAM-UDO PA-C
351 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA 92415-1018
Phone number: 714-748-8955
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Mailing Address
Mrs. BRENITTA GILLIAM-UDO PA-C
25064 BARTON RD
LOMA LINDA, CA 92354-2830
Phone number: 909-569-3576
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