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1134746621
ABUNDANT LIFE MEDICAL CLINIC
SANTA MARIA, CA
NPI
1134746621
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Entity Type
Organization
Authorized Contact
BRIAN NABIL TALLEUR
Owner
805-698-6206
Organization Subpart ?
No
Primary Taxonomy
207QA0401X Family Medicine, Addiction Medicine
Enumeration Date
2020-06-30
Last Update Date
2020-06-30
Business Address
ABUNDANT LIFE MEDICAL CLINIC
338 E BETTERAVIA RD
SANTA MARIA, CA 93454-7846
Phone number: 805-698-6206
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Mailing Address
ABUNDANT LIFE MEDICAL CLINIC
34 RIVER POINTE WAY
LODI, CA 95240-0552
Phone number: 805-698-6206
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