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1720083447
ANITA BOORMAN
FOUNTAIN VALLEY, CA
NPI
1720083447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA 20A7268)
Enumeration Date
2005-06-17
Last Update Date
2008-09-22
Business Address
-- ANITA BOORMAN DO
9930 TALBERT AVE.
FOUNTAIN VALLEY, CA 92708
Phone number: 714-964-6229
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Mailing Address
-- ANITA BOORMAN DO
9930 TALBERT AVE.
FOUNTAIN VALLEY, CA 92708
Phone number:
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