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1861794968
QIU HUA WAN
COLTON, CA
NPI
1861794968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 20A11475)
Enumeration Date
2010-11-22
Last Update Date
2010-11-22
Business Address
Dr. QIU HUA WAN D.O.
400 N PEPPER AVE INTERNAL MEDICINE DEPARTMENT
COLTON, CA 92324-1801
Phone number: 909-580-1728
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Mailing Address
Dr. QIU HUA WAN D.O.
400 NORTH PEPPER AVENUE
COLTON, CA 92324-1819
Phone number: 909-580-1728
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