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1194055749
N/A
ANTIOCH, CA
NPI
1194055749
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Entity Type
Organization
Authorized Contact
KEVIN ROLAND MARTIN
Phlebotomist
925-458-5124
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: CA 246RP1900X)
Enumeration Date
2010-01-04
Last Update Date
2010-01-04
Business Address
N/A
4051 LONE TREE WAY STE C
ANTIOCH, CA 94531-6204
Phone number: 925-757-2900
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Mailing Address
N/A
1869 SAN ANDRES DR
PITTSBURG, CA 94565-7651
Phone number: 925-458-5124
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