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Individual
DR. EILEEN LYNN MCCALLUM
Active
Individual
DR. EILEEN LYNN MCCALLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A055135
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A551350
PTAN
CA
05
—
00A551350
—
CA
01
—
A055135
CALIFORNIA LICENCE NUMBER
CA
Enumeration date
06/14/2005
Last updated
01/17/2013
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