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DR. ELEANOR FANGONIL BUCAYCAY M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1720166150

Individual Registrant:
DR. ELEANOR FANGONIL BUCAYCAY M.D.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5342 DUDLEY BLVD  MCCLELLAN, CA 95652-2637 US
Tel: 916-561-7400  Fax: --

Contact information for business:
5342 DUDLEY BLVD  MCCLELLAN, CA 95652-2637 US
Tel: 916-561-7400  Fax: --

Registration Information:
NPI: 1720166150
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
IN01054245

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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