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1093498230
TRIDENT MEDICAL GROUP INC.
APPLE VALLEY, CA
NPI
1093498230
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Entity Type
Organization
Authorized Contact
NYRA KHETARPAL
President
484-557-9511
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2023-08-14
Last Update Date
2024-03-05
Business Address
TRIDENT MEDICAL GROUP INC.
18564 US HIGHWAY 18 STE 103&104
APPLE VALLEY, CA 92307-2312
Phone number: 760-242-9262
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Mailing Address
TRIDENT MEDICAL GROUP INC.
14050 RIVERSIDE DR
APPLE VALLEY, CA 92307-5335
Phone number:
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