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1376594671
PROVIDENCE MEDICAL INSTITUTE
TORRANCE, CA
NPI
1376594671
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Entity Type
Organization
Authorized Contact
KELLY KURCZ
Cheif Operating Officer
310-793-8075
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-05-12
Last Update Date
2011-02-09
Business Address
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 90503-4607
Phone number: 310-793-8075
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Mailing Address
PROVIDENCE MEDICAL INSTITUTE
4101 TORRANCE BLVD
TORRANCE, CA 90503-4607
Phone number: 310-793-8075
Copy
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