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Individual

DIOSDADO L TABILON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7000 FRANKLIN BLVD STE 200, SACRAMENTO, CA 95823-1865
(913) 394-0800
Mailing address
5500 EUCALYPTUS DRIVE APT 737, AMERICAN CANYON, CA 94503-1177
(510) 375-3143

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A35896
CA

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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