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1679643688
SIDE XI
VISALIA, CA
NPI
1679643688
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A85791)
Enumeration Date
2006-11-08
Last Update Date
2007-07-09
Business Address
-- SIDE XI MD
2611 N DINUBA BLVD
VISALIA, CA 93291-9003
Phone number: 559-733-6342
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Mailing Address
-- SIDE XI MD
5957 S MOONEY BLVD
VISALIA, CA 93277-9394
Phone number: 559-737-4669
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