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1598966186
ILIA GUR
STOCKTON, CA
NPI
1598966186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: CA A107317)
Additional Taxonomies
208600000X Surgery
(Licence: FL TRN11197)
Enumeration Date
2007-05-30
Last Update Date
2012-10-15
Business Address
-- ILIA GUR M.D.
2545 W HAMMER LN
STOCKTON, CA 95209-2839
Phone number: 209-957-7050
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Mailing Address
-- ILIA GUR M.D.
600 COFFEE RD
MODESTO, CA 95355-4201
Phone number: 209-521-6097
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