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1154048395
PRIME ENT SINUS SLEEP & ALLERGY INC
STOCKTON, CA
NPI
1154048395
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Entity Type
Organization
Authorized Contact
SHILPA S MALIK
Owner
614-595-2033
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2022-10-27
Last Update Date
2023-05-25
Business Address
PRIME ENT SINUS SLEEP & ALLERGY INC
1503 E MARCH LN STE A
STOCKTON, CA 95210-5622
Phone number: 209-315-0400
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Mailing Address
PRIME ENT SINUS SLEEP & ALLERGY INC
PO BOX 1450
LODI, CA 95241-1450
Phone number: 209-315-0400
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