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1093736118
ORANGE DOCTORS OF KIDS AND TEENS
ORANGE, CA
NPI
1093736118
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Entity Type
Organization
Authorized Contact
ALLAN WONG
Treasurer
714-639-3914
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2006-07-22
Last Update Date
2013-09-10
Business Address
ORANGE DOCTORS OF KIDS AND TEENS
1310 W. STEWART DRIVE SUITE #506
ORANGE, CA 92868
Phone number: 714-639-3914
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Mailing Address
ORANGE DOCTORS OF KIDS AND TEENS
1310 W. STEWART DRIVE SUITE #506
ORANGE, CA 92868
Phone number: 714-639-3914
Copy
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