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1063063451
TOTAL BODY ADVANCED MEDICINE, INC.
SAN PEDRO, CA
NPI
1063063451
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Entity Type
Organization
Authorized Contact
NAHDIR POURTEYMOOR
CEO
909-549-3535
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2019-09-26
Last Update Date
2019-09-26
Business Address
TOTAL BODY ADVANCED MEDICINE, INC.
789 W 9TH ST
SAN PEDRO, CA 90731-3601
Phone number: 310-519-1557
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Mailing Address
TOTAL BODY ADVANCED MEDICINE, INC.
789 W 9TH ST
SAN PEDRO, CA 90731-3601
Phone number: 310-519-1557
Copy
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