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1093137788
GREEN HAVEN FAMILY PRACTICE, INC
SACRAMENTO, CA
NPI
1093137788
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Entity Type
Organization
Authorized Contact
SCARLETT TAN LU
Owner
916-661-5336
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A8387)
Enumeration Date
2014-01-14
Last Update Date
2014-07-16
Business Address
GREEN HAVEN FAMILY PRACTICE, INC
1102 CORPORATE WAY STE 170
SACRAMENTO, CA 95831-3895
Phone number: 916-661-5336
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Mailing Address
GREEN HAVEN FAMILY PRACTICE, INC
1102 CORPORATE WAY STE 170
SACRAMENTO, CA 95831-3895
Phone number: 916-661-5336
Copy
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