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Individual

DR. JOHN MANN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 324-5586
(559) 324-5730
Mailing address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 324-5586
(559) 324-5730

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
G11168
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G11168
CA MEDICAL LICENSE
CA
Enumeration date
09/05/2007
Last updated
09/05/2007
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