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1417050584
RIAD MARDOUM
SAN DIEGO, CA
NPI
1417050584
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A36720)
Enumeration Date
2006-09-06
Last Update Date
2022-07-21
Business Address
Dr. RIAD MARDOUM M.D.
4077 5TH AVE
SAN DIEGO, CA 92103-2105
Phone number: 619-260-7046
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Mailing Address
Dr. RIAD MARDOUM M.D.
4077 5TH AVE
SAN DIEGO, CA 92103-2105
Phone number: 619-260-7046
Copy
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