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1659384667
HERALD A BRUNDAGE
BURBANK, CA
NPI
1659384667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA C34743)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
Dr. HERALD A BRUNDAGE M.D.
2625 W ALAMEDA AVE SUITE 110
BURBANK, CA 91505-4806
Phone number: 818-843-8616
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Mailing Address
Dr. HERALD A BRUNDAGE M.D.
1970 STARVALE RD
GLENDALE, CA 91207-1050
Phone number: 818-843-8616
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