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Individual

JOHN FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17491 BASTANCHURY RD, YORBA LINDA, CA 92886-1801
(714) 773-9010
Mailing address
17491 BASTANCHURY RD, YORBA LINDA, CA 92886-1801
(714) 773-9010

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G047033
CA

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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