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1104095975
DEBRUIN MEDICAL CENTER A.P.C.
ORANGEVALE, CA
NPI
1104095975
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Entity Type
Organization
Authorized Contact
MARK IKE DEBRUIN
Owner
916-989-2929
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A5579)
Enumeration Date
2008-02-26
Last Update Date
2008-02-26
Business Address
DEBRUIN MEDICAL CENTER A.P.C.
9352 MADISON AVE STE. ONE
ORANGEVALE, CA 95662-4968
Phone number: 916-989-2929
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Mailing Address
DEBRUIN MEDICAL CENTER A.P.C.
9352 MADISON AVE STE. ONE
ORANGEVALE, CA 95662-4968
Phone number: 916-989-2929
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