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1255609004
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
MARINA DEL REY, CA
NPI
1255609004
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Entity Type
Organization
Authorized Contact
JEREMY KORMAN
President
310-577-5540
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2011-12-08
Last Update Date
2011-12-08
Business Address
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
4644 LINCOLN BLVD SUITE 450
MARINA DEL REY, CA 90292-6313
Phone number: 310-577-5540
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Mailing Address
JEREMY E. KORMAN MD, A PROFESSIONAL CORPORATION
2980 N BEVERLY GLEN CIR SUITE 301
LOS ANGELES, CA 90077-1726
Phone number: 310-474-9809
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