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1902860539
STEPHEN ERWIN PROVER
TORRANCE, CA
NPI
1902860539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA A034057)
Enumeration Date
2006-04-12
Last Update Date
2009-05-07
Business Address
-- STEPHEN ERWIN PROVER M.D.
23326 HAWTHORNE BLVD SUITE #375
TORRANCE, CA 90505-3725
Phone number: 310-373-0527
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Mailing Address
-- STEPHEN ERWIN PROVER M.D.
23326 HAWTHORNE BLVD SUITE #375
TORRANCE, CA 90505-3725
Phone number: 310-373-0527
Copy
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