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Individual

DR. GIDEON PUIYUEN KWOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
12225 FOOTHILL BLVD #120, RANCHO CUCAMONGA, CA 91739
(909) 922-5100
(909) 922-5150
Mailing address
12225 FOOTHILL BLVD STE 120, RANCHO CUCAMONGA, CA 91739-9359
(909) 922-5100
(909) 922-5150

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
20A8908
CA

Other

Enumeration date
01/15/2009
Last updated
01/15/2009
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