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1003634353
MEDIGRADE LLC
OXNARD, CA
NPI
1003634353
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Entity Type
Organization
Authorized Contact
RICHARD HEIMANN
Medical Director
818-371-9466
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2024-09-26
Last Update Date
2024-09-26
Business Address
MEDIGRADE LLC
1889 N RICE AVE STE 201
OXNARD, CA 93030-7989
Phone number: 833-702-5508
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Mailing Address
MEDIGRADE LLC
1309 COFFEEN AVE STE 4515
SHERIDAN, WY 82801-5777
Phone number: 833-702-5508
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