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Individual

MR. DAVID ARTHUR OLIPHANT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
605 S SANTA CRUZ AVE, MODESTO, CA 95354-4254
(209) 341-7152
(209) 341-4731
Mailing address
740 BLUEFIELD AVE, TURLOCK, CA 95382-0314
(209) 668-0721

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
552
TN

Other

Enumeration date
08/09/2005
Last updated
07/08/2007
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