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1124163100
PAVILLION HEALTHCARE SERVICES
CARSON, CA
NPI
1124163100
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Entity Type
Organization
Authorized Contact
MARTIN OKON
Program Director
310-532-3464
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: CA 59793A)
Enumeration Date
2007-02-20
Last Update Date
2020-08-22
Business Address
PAVILLION HEALTHCARE SERVICES
20930 BONITA ST SUITE Y
CARSON, CA 90746-3680
Phone number: 310-532-3464
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Mailing Address
PAVILLION HEALTHCARE SERVICES
20930 BONITA ST SUITE Y
CARSON, CA 90746-3680
Phone number: 310-532-3464
Copy
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