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1346556107
MI CARE INC
RIVERSIDE, CA
NPI
1346556107
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Entity Type
Organization
Authorized Contact
MICHAEL S PROVENGHI
President
951-588-7658
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: A86795)
Enumeration Date
2010-08-31
Last Update Date
2010-08-31
Business Address
MI CARE INC
3975 JACKSON ST #206
RIVERSIDE, CA 92503-3901
Phone number: 951-588-7685
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Mailing Address
MI CARE INC
5198 ARLINGTON AVE #610
RIVERSIDE, CA 92504-2603
Phone number: 951-588-7658
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