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1700376324
SHADDE OTHMAN
POMONA, CA
NPI
1700376324
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
SHADDE OTHMAN
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-9116
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Mailing Address
SHADDE OTHMAN
309 E 2ND ST
POMONA, CA 91766-1854
Phone number: 909-623-9116
Copy
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