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1952697740
MICHAEL CHRISTOPHER FANGEROW
SAN DIEGO, CA
NPI
1952697740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CA 16904)
Enumeration Date
2011-06-21
Last Update Date
2022-09-07
Business Address
Dr. MICHAEL CHRISTOPHER FANGEROW D.O.
6386 ALVARADO CT STE 101
SAN DIEGO, CA 92120-4906
Phone number: 858-554-1212
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Mailing Address
Dr. MICHAEL CHRISTOPHER FANGEROW D.O.
9850 GENESEE AVE STE 320
LA JOLLA, CA 92037-1208
Phone number: 858-554-1212
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