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Individual

DR. DAVID G. FUENTES JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1400 N ROOSEVELT BLVD, 245, SCHAUMBURG, IL 60173-4377
(847) 330-4540
Mailing address
1400 N ROOSEVELT BLVD, 245, SCHAUMBURG, IL 60173-4377
(847) 330-4540

Taxonomy

Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
55520
CA

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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