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1356418230
CHARLES T. WHITTAKER
FONTANA, CA
NPI
1356418230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G24894)
Enumeration Date
2006-11-29
Last Update Date
2021-11-29
Business Address
CHARLES T. WHITTAKER MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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Mailing Address
CHARLES T. WHITTAKER MD
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3910
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