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1629694716
VIDAL LUIS CORDOVA
COLTON, CA
NPI
1629694716
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-06-24
Last Update Date
2023-01-13
Business Address
Mr. VIDAL LUIS CORDOVA
400 N PEPPER AVE
COLTON, CA 92324-1801
Phone number: 909-557-1600
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Mailing Address
Mr. VIDAL LUIS CORDOVA
3960 W POINT LOMA BLVD STE H-111
SAN DIEGO, CA 92110-5643
Phone number: 619-871-8037
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