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Individual

OUSSAMA I DAGHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
777 E HAWKEYE AVE, TURLOCK, CA 95380-7506
(209) 668-8030
Mailing address
PO BOX 4978, MODESTO, CA 95352-4978
(205) 575-4575
(209) 545-4598

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A100106
CA
207RC0000X
Cardiovascular Disease Physician
A100106
NY

Other

Enumeration date
06/22/2007
Last updated
03/11/2015
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