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Individual

ISRA ABUGROUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761
(973) 926-7471
Mailing address
9300 VALLEY CHILDRENS PL, MADERA, CA 93636-8761

Taxonomy

Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
A167777
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/27/2014
Last updated
07/01/2020
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