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1851477384
MARY R. IDSO
SAN JOSE, CA
NPI
1851477384
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA G36933)
Enumeration Date
2006-10-27
Last Update Date
2007-07-08
Business Address
MARY R. IDSO MD
260 INTERNATIONAL CIR
SAN JOSE, CA 95119-1130
Phone number: 408-972-7000
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Mailing Address
MARY R. IDSO MD
1800 HARRISON ST FL 7
OAKLAND, CA 94612-3429
Phone number: 510-625-6262
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