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1730120163
BRENT RIDDER
LAGUNA HILLS, CA
NPI
1730120163
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A80485)
Enumeration Date
2006-06-09
Last Update Date
2007-07-09
Business Address
Dr. BRENT RIDDER M.D.
23961 CALLE DE LA MAGDALENA #115
LAGUNA HILLS, CA 92653-3616
Phone number: 949-206-4633
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Mailing Address
Dr. BRENT RIDDER M.D.
23961 CALLE DE LA MAGDALENA #115
LAGUNA HILLS, CA 92653-3616
Phone number: 949-206-4633
Copy
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