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1245011907
EIDELSON MD LLC
ELK GROVE, CA
NPI
1245011907
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Entity Type
Organization
Authorized Contact
JOEL R EIDELSON
Owner
805-453-9178
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2023-10-09
Last Update Date
2023-10-09
Business Address
EIDELSON MD LLC
9765 CANERIA WAY
ELK GROVE, CA 95757-6225
Phone number: 805-453-9178
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Mailing Address
EIDELSON MD LLC
9765 CANERIA WAY
ELK GROVE, CA 95757-6225
Phone number: 805-453-9178
Copy
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