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1790721132
GEOFFREY PAUL WIEDEMAN
SACRAMENTO, CA
NPI
1790721132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G30750)
Enumeration Date
2006-06-22
Last Update Date
2010-08-09
Business Address
-- GEOFFREY PAUL WIEDEMAN M.D.
1201 ALHAMBRA BLVD 410
SACRAMENTO, CA 95816-5243
Phone number: 916-457-4263
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Mailing Address
-- GEOFFREY PAUL WIEDEMAN M.D.
1201 ALHAMBRA BLVD 410
SACRAMENTO, CA 95816-5243
Phone number: 916-457-4263
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