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1306118294
MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP
SACRAMENTO, CA
NPI
1306118294
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Entity Type
Organization
Authorized Contact
SEAN DEANE
President
916-452-6222
Organization Subpart ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
Enumeration Date
2012-02-07
Last Update Date
2014-09-15
Business Address
MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP
4801 J ST STE B
SACRAMENTO, CA 95819-3746
Phone number: 916-452-6222
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Mailing Address
MOUNTAINSIDE ALLERGY AND IMMUNOLOGY GROUP
PO BOX 19066
SACRAMENTO, CA 95819-0066
Phone number: 916-452-6222
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