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1003956715
GLENDALE PREMIER MEDICAL GROUP
GLENDALE, CA
NPI
1003956715
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Entity Type
Organization
Authorized Contact
LAINIS QUEVEDO
Administrator
818-240-0662
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-02-08
Last Update Date
2020-08-22
Business Address
GLENDALE PREMIER MEDICAL GROUP
222 W EULALIA ST #201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601
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Mailing Address
GLENDALE PREMIER MEDICAL GROUP
222 W EULALIA ST #201
GLENDALE, CA 91204-2849
Phone number: 818-240-0601
Copy
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