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1134907173
GEVINAH HEALTHCARE SC
KENOSHA, WI
NPI
1134907173
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Entity Type
Organization
Authorized Contact
MICHAEL FARAH
Owner
310-933-5688
Organization Subpart ?
No
Primary Taxonomy
207QG0300X Family Medicine, Geriatric Medicine
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
GEVINAH HEALTHCARE SC
3100 WASHINGTON RD
KENOSHA, WI 53144-1604
Phone number: 310-933-5688
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Mailing Address
GEVINAH HEALTHCARE SC
9171 WILSHIRE BLVD STE 500
BEVERLY HILLS, CA 90210-5536
Phone number: 310-933-5688
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