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Individual

GABRIEL SUDARIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 THE CITY DR S, ORANGE, CA 92868-3201
(714) 456-7890
Mailing address
101 THE CITY DRIVE, ROUTE 128-01, DEPARTMENT OF EMERGENCY MEDICINE, ORANGE, CA 92868
(714) 456-5239

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A138895
CA

Other

Enumeration date
03/30/2014
Last updated
06/27/2018
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