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1083112247
LEGACY MEDICAL GROUP, INC.
SAN DIEGO, CA
NPI
1083112247
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Entity Type
Organization
Authorized Contact
RALPH HERNANDEZ
Executive Director
619-733-5192
Organization Subpart ?
No
Primary Taxonomy
261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date
2018-01-23
Last Update Date
2018-02-20
Business Address
LEGACY MEDICAL GROUP, INC.
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114-3629
Phone number: 619-262-2224
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Mailing Address
LEGACY MEDICAL GROUP, INC.
292 EUCLID AVE STE 210
SAN DIEGO, CA 92114-3629
Phone number:
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