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Organization
GEORGE MOUSA MD PROF INC
Active
Organization
GEORGE MOUSA MD PROF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MOUSA MD (OWNER)
(714) 261-7958
Entity
Organization
Contact information
Practice address
401 E 21ST ST, SAN BERNARDINO, CA 92404-4845
(909) 881-3333
Mailing address
1353 MAYWOOD AVE, UPLAND, CA 91786-2543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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