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1790134047
SPECTRUM SKIN CANCER CARE INC
CLAREMONT, CA
NPI
1790134047
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Entity Type
Organization
Authorized Contact
ASIF SIDDIQ
President/Provider
909-702-7602
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2016-06-07
Last Update Date
2016-06-07
Business Address
SPECTRUM SKIN CANCER CARE INC
425 E HOLYOKE PL
CLAREMONT, CA 91711-1979
Phone number: 909-702-7602
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Mailing Address
SPECTRUM SKIN CANCER CARE INC
517 N MOUNTAIN AVE
UPLAND, CA 91786-5016
Phone number: 909-702-7602
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