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1215960455
EVERGREEN PEDIATRIC ASSOCIATES INC.
SAN JOSE, CA
NPI
1215960455
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Entity Type
Organization
Authorized Contact
LINDA M. HA
Secretary
408-270-3374
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CA FNP32950)
Enumeration Date
2006-07-09
Last Update Date
2020-08-22
Business Address
EVERGREEN PEDIATRIC ASSOCIATES INC.
1642 E CAPITOL EXPY
SAN JOSE, CA 95121-1800
Phone number: 408-270-3374
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Mailing Address
EVERGREEN PEDIATRIC ASSOCIATES INC.
1642 E CAPITOL EXPY
SAN JOSE, CA 95121-1800
Phone number: 408-270-3374
Copy
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