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1851482541
VISHVANATH V DATE
LOMA LINDA, CA
NPI
1851482541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: CA A35366)
Enumeration Date
2006-09-27
Last Update Date
2007-07-08
Business Address
Dr. VISHVANATH V DATE M.D.
PETTIS MEMORIAL VA HOSPITAL 11201, BENTON ST
LOMA LINDA, CA 92357-0001
Phone number: 909-825-7084
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Mailing Address
Dr. VISHVANATH V DATE M.D.
619 S SCOUT TRL
ANAHEIM, CA 92807-4756
Phone number: 714-974-1174
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