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1073669404
CANYON SPRINGS MEDICAL GROUP, INC.
MORENO VALLEY, CA
NPI
1073669404
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Entity Type
Organization
Authorized Contact
FAHEEM M. JUKAKU
President
951-486-5610
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2007-01-26
Last Update Date
2018-04-23
Business Address
CANYON SPRINGS MEDICAL GROUP, INC.
26520 CACTUS AVE RM B2018
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5610
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Mailing Address
CANYON SPRINGS MEDICAL GROUP, INC.
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5610
Copy
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