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Individual

GEORGE V DOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
999 S FAIRMONT AVE STE 130, LODI, CA 95240
(209) 336-2001
(209) 366-2022
Mailing address
301 W BASTANCHURY RD, STE 240, FULLERTON, CA 92835-3430
(714) 853-1218
(714) 853-1224

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A132794
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/11/2012
Last updated
09/02/2021
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