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1427420009
GOLDSTAR PEDIATRICS PC
FONTANA, CA
NPI
1427420009
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Entity Type
Organization
Authorized Contact
IRMGARD UNA TACKIE
Physician/CEO
909-225-1900
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA FNP544821)
Enumeration Date
2015-10-22
Last Update Date
2021-12-23
Business Address
GOLDSTAR PEDIATRICS PC
15290 SUMMIT AVE SUITE B
FONTANA, CA 92336-0240
Phone number: 909-225-1900
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Mailing Address
GOLDSTAR PEDIATRICS PC
15290 SUMMIT AVE STE B
FONTANA, CA 92336-0240
Phone number: 909-225-1900
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