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1588711618
DOUGLAS EVERETT DESALLES
STOCKTON, CA
NPI
1588711618
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G53681)
Enumeration Date
2007-01-04
Last Update Date
2007-07-08
Business Address
Dr. DOUGLAS EVERETT DESALLES M.D.
1801 E MARCH LN D-470
STOCKTON, CA 95210-6629
Phone number: 209-954-3100
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Mailing Address
Dr. DOUGLAS EVERETT DESALLES M.D.
107 SAN ANTONIO WAY
SACRAMENTO, CA 95819-1927
Phone number: 916-452-3357
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