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1023075678
PACIFIC BRAIN & SPINE MED GRP INC
CASTRO VALLEY, CA
NPI
1023075678
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Entity Type
Organization
Authorized Contact
JEFFREY BLAINE RANDALL
President
510-886-3138
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2006-04-27
Last Update Date
2020-08-22
Business Address
PACIFIC BRAIN & SPINE MED GRP INC
20055 LAKE CHABOT RD # 110
CASTRO VALLEY, CA 94546
Phone number: 510-886-3138
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Mailing Address
PACIFIC BRAIN & SPINE MED GRP INC
20055 LAKE CHABOT RD # 110
CASTRO VALLEY, CA 94546
Phone number: 510-886-3138
Copy
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