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1982973582
MEL CLARK REQUIAS TAVEROS
BAKERSFIELD, CA
NPI
1982973582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA A139158)
Enumeration Date
2011-12-28
Last Update Date
2015-12-15
Business Address
Dr. MEL CLARK REQUIAS TAVEROS M.D.
301 BRUNDAGE LN
BAKERSFIELD, CA 93304-3248
Phone number: 661-323-6086
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Mailing Address
Dr. MEL CLARK REQUIAS TAVEROS M.D.
PO BOX 1559
BAKERSFIELD, CA 93302-1559
Phone number: 661-635-3050
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