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Individual

DR. ANDREW L DEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
825 DELBON AVE, TURLOCK, CA 95382-2016
(209) 667-4200
Mailing address
PO BOX 579853, MODESTO, CA 95357-5853
(209) 277-3007

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A82366
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A823660
CA
Enumeration date
06/17/2006
Last updated
07/19/2011
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