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1871641811
DAVID UNTALAN WASIM
RIVERSIDE, CA
NPI
1871641811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A92461)
Enumeration Date
2007-01-08
Last Update Date
2021-12-01
Business Address
DAVID UNTALAN WASIM MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
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Mailing Address
DAVID UNTALAN WASIM MD
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505-3043
Phone number: 909-353-2000
Copy
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