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1396978037
JUSTIN DIEDRICH
SAN BERNARDINO, CA
NPI
1396978037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: MO 2013023316)
Enumeration Date
2009-08-28
Last Update Date
2021-03-03
Business Address
Dr. JUSTIN DIEDRICH MD
1873 COMMERCENTER W
SAN BERNARDINO, CA 92408-3303
Phone number: 714-922-4100
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Mailing Address
Dr. JUSTIN DIEDRICH MD
254 N LAKE AVE # 161
PASADENA, CA 91101-1829
Phone number:
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