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Individual

DR. DONALD JAMES PROLO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 DI SALVO AVE, SAN JOSE, CA 95128-1628
(408) 295-4022
(408) 295-2562
Mailing address
203 DI SALVO AVE, SAN JOSE, CA 95128-1628
(408) 295-4022
(408) 295-2562

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G99280
CA

Other

Enumeration date
03/09/2006
Last updated
07/08/2007
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