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Organization
EUNICE N BOLIVAR MD, INC.
Active
Organization
EUNICE N BOLIVAR MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE F COSTA (BILLING MANAGER)
(909) 882-6900
Entity
Organization
Contact information
Practice address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(909) 882-6900
(909) 882-6110
Mailing address
598 N F ST, SAN BERNARDINO, CA 92410-3110
(909) 882-6900
(909) 882-6110
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A33374
CA
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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