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1487763009
TARAM MBAITOUBAM DABO
SAN DIEGO, CA
NPI
1487763009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A78607)
Enumeration Date
2006-08-29
Last Update Date
2007-07-08
Business Address
Dr. TARAM MBAITOUBAM DABO M.D
1919 GRAND AVE STE 1E
SAN DIEGO, CA 92109-4578
Phone number: 858-270-5454
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Mailing Address
Dr. TARAM MBAITOUBAM DABO M.D
1919 GRAND AVE STE 1E
SAN DIEGO, CA 92109-4578
Phone number: 858-270-5454
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