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1467661496
PAUL TIMOTHY FANTA
SAN DIEGO, CA
NPI
1467661496
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine, Hematology & Oncology
(Licence: CA A81637)
Enumeration Date
2007-05-22
Last Update Date
2019-08-28
Business Address
Dr. PAUL TIMOTHY FANTA MD
200 W ARBOR DR
SAN DIEGO, CA 92103-9000
Phone number: 800-926-8273
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Mailing Address
Dr. PAUL TIMOTHY FANTA MD
PO BOX 232410
SAN DIEGO, CA 92193-2410
Phone number:
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