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1003520065
FMC 26, PC
VAN NUYS, CA
NPI
1003520065
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Entity Type
Organization
Authorized Contact
JOABB MARIE GRIPPO
Billing Manager
909-967-5670
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2023-01-12
Last Update Date
2023-01-12
Business Address
FMC 26, PC
14547 VICTORY BLVD
VAN NUYS, CA 91411-1619
Phone number: 818-997-3232
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Mailing Address
FMC 26, PC
14547 VICTORY BLVD
VAN NUYS, CA 91411-1619
Phone number: 818-997-3232
Copy
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