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1790938306
DAVIN WILSON CHARK
ORANGE, CA
NPI
1790938306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2008-10-28
Last Update Date
2008-10-28
Business Address
-- DAVIN WILSON CHARK M.D.
101 THE CITY DR S BLDG 56, STE 500
ORANGE, CA 92868-3201
Phone number: 714-456-5753
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Mailing Address
-- DAVIN WILSON CHARK M.D.
12151 BAYPORT ST APT.# 10-208
GARDEN GROVE, CA 92840-4471
Phone number: 615-243-7926
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