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Individual

ROBERT R FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
2 W. FERN AVE., REDLANDS, CA 92373-5916
(909) 793-3311
(909) 307-9469
Mailing address
P.O. BOX 2200, REDLANDS, CA 92373-0722
(909) 793-3311

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10610
CA

Other

Enumeration date
04/12/2006
Last updated
02/25/2009
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