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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

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