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1386409704
DESOUZA MEDICAL GROUP INC
CORONA, CA
NPI
1386409704
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Entity Type
Organization
Authorized Contact
LIENIO DE SOUZA
Owner Provider
951-977-8845
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-02-15
Last Update Date
2024-10-24
Business Address
DESOUZA MEDICAL GROUP INC
26321 SANTIAGO CANYON ROAD
CORONA, CA 92883
Phone number: 877-258-6331
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Mailing Address
DESOUZA MEDICAL GROUP INC
26321 SANTIAGO CANYON RD
CORONA, CA 92883-5229
Phone number: 877-258-6331
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