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1346604022
PROMESA PRIMARY CARE, LLC
RIVERSIDE, CA
NPI
1346604022
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Entity Type
Organization
Authorized Contact
OMAR GOMEZ
Administrator
951-213-6505
Organization Subpart ?
No
Primary Taxonomy
251E00000X Home Health
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
PROMESA PRIMARY CARE, LLC
3978 BROCKTON AVE
RIVERSIDE, CA 92501-3203
Phone number: 951-213-6505
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Mailing Address
PROMESA PRIMARY CARE, LLC
3978 BROCKTON AVE
RIVERSIDE, CA 92501-3203
Phone number: 951-213-6505
Copy
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