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Preferred Provider Organization

NPI: 1568847424Organization

Specialties, Licenses & Credentials

Preferred Provider OrganizationPrimary

Preferred Provider Organization

Code: 305R00000X

NOT REQUIRED(CA)
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Contact & Hours

Address
3146 BENHAM CT
PLACERVILLE, CA 95667

Quick Facts

NPI
1568847424
Entity Type
Organization
Medicare
Not confirmed
Specialties
1
Locations
1

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