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1699125880
FADY BOUTROS
ORANGE, CA
NPI
1699125880
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: CA A157668)
Enumeration Date
2016-06-17
Last Update Date
2020-05-18
Business Address
Dr. FADY BOUTROS M.D.
101 THE CITY DR S BLDG 53
ORANGE, CA 92868-3201
Phone number: 909-331-1602
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Mailing Address
Dr. FADY BOUTROS M.D.
12019 HUNTLEY DR
RANCHO CUCAMONGA, CA 91739-2543
Phone number: 909-331-1602
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