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1598784662
MIKE M BANNOUT
CONCORD, CA
NPI
1598784662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA A61793)
Enumeration Date
2006-07-19
Last Update Date
2012-06-17
Business Address
Dr. MIKE M BANNOUT M.D.
2700 GRANT ST SUITE 200
CONCORD, CA 94520-2266
Phone number: 925-674-2609
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Mailing Address
Dr. MIKE M BANNOUT M.D.
DEPT 34929 P.O. BOX 39000
SAN FRANCISCO, CA 94139-0001
Phone number: 925-952-2828
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