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Individual

SANFORD SELCON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
8420 QUAIL OAKS DR, GRANITE BAY, CA 95746-6066
(916) 791-2895
Mailing address
8420 QUAIL OAKS DR, GRANITE BAY, CA 95746-6066
(916) 791-2895

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
C29359
CA

Other

Enumeration date
12/09/2013
Last updated
12/09/2013
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