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Dicran B Baron
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NPI Number Detailed Information
Provider Information:
| Name: | Dicran B Baron |
| Gender: | M |
| Provider License Number If Given: | G40050 |
NPI Information:
| NPI: | 1881689347 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 9/12/2005 |
| Last Update Date: | 6/3/2008 |
Provider Business Mailing Address:
| Address: | 705 W LA VETA AVE #112 Orange, CA 92868 |
| Phone Number: | 7147441529 |
| Fax Number: | 7147441102 |
Provider Business Practice Location Address:
| Address: | 705 W LA VETA AVE #112 Orange, CA 92868 |
| Phone Number: | 7147441529 |
| Fax Number: | 7147441102 |
Provider Taxonomy:
| Primary: | 207RC0000X |
| Secondary (if any): | 207RC0001X |
| State: | CA |
