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1548764863
JAGANNATH SAM NAYAK
COLTON, CA
NPI
1548764863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA A166879)
Enumeration Date
2018-03-21
Last Update Date
2023-10-17
Business Address
Dr. JAGANNATH SAM NAYAK
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 909-580-2186
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Mailing Address
Dr. JAGANNATH SAM NAYAK
400 N PEPPER AVE
COLTON, CA 92324-1819
Phone number: 909-580-2186
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