WYLIE DOUGLASS

COVINA, CA
NPI1427807692
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  95030099)
Enumeration Date2024-05-18
Last Update Date2024-05-18
Business Address
WYLIE DOUGLASS NP
500 W SAN BERNARDINO RD
COVINA, CA 91722-3797
Phone number: 626-960-2326
Mailing Address
WYLIE DOUGLASS NP
2320 FAIRFIELD WAY
UPLAND, CA 91784-8609
Phone number: 909-731-4413
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