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1356536452
WEST COAST PRIMARY CARE MEDICAL GROUP
GARDEN GROVE, CA
NPI
1356536452
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Entity Type
Organization
Authorized Contact
DOUGLAS G CLARK
Owner/President
714-530-7373
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2007-09-11
Last Update Date
2007-09-14
Business Address
WEST COAST PRIMARY CARE MEDICAL GROUP
12665 GARDEN GROVE BLVD SUITE 301
GARDEN GROVE, CA 92843-1901
Phone number: 714-530-7373
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Mailing Address
WEST COAST PRIMARY CARE MEDICAL GROUP
12665 GARDEN GROVE BLVD SUITE 301
GARDEN GROVE, CA 92843-1901
Phone number: 714-530-7373
Copy
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