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1376202986
PROVIDENCE PODIATRY CARE, INC
SAN BERNARDINO, CA
NPI
1376202986
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Entity Type
Organization
Authorized Contact
EDDIE AVILA
Secretary/Treasuer
909-244-7430
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
Enumeration Date
2021-12-10
Last Update Date
2023-06-21
Business Address
PROVIDENCE PODIATRY CARE, INC
473 E CARNEGIE DRIVE SUITE 200
SAN BERNARDINO, CA 92408
Phone number: 909-244-7430
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Mailing Address
PROVIDENCE PODIATRY CARE, INC
473 E CARNEGIE DRIVE SUITE 200
SAN BERNARDINO, CA 92408
Phone number: 909-244-7430
Copy
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