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1326384512
IDENTITY MEDICAL GROUP, INC.
CAMARILLO, CA
NPI
1326384512
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Entity Type
Organization
Authorized Contact
GARY M. DEUTSCH,
General Partner
805-256-7810
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2012-12-17
Last Update Date
2016-11-18
Business Address
IDENTITY MEDICAL GROUP, INC.
751 E DAILY DR SUITE 120
CAMARILLO, CA 93010-6076
Phone number: 805-256-7810
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Mailing Address
IDENTITY MEDICAL GROUP, INC.
751 E DAILY DR SUITE 120
CAMARILLO, CA 93010-6076
Phone number: 805-256-7810
Copy
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