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1356495626
PRAIRIE MEDICAL GROUP INC
LOS ANGELES, CA
NPI
1356495626
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Entity Type
Organization
Authorized Contact
CHRISTOPHER C CHIDI
President
310-214-8677
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2007-01-23
Last Update Date
2022-07-21
Business Address
PRAIRIE MEDICAL GROUP INC
DEPARTMENT NO 2834
LOS ANGELES, CA 90084-2826
Phone number: 310-214-8677
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Mailing Address
PRAIRIE MEDICAL GROUP INC
DEPARTMENT NO 2834
LOS ANGELES, CA 90084-2826
Phone number: 310-214-8677
Copy
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