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1386700649
RIDGE MEDICAL GROUP INC.
GRASS VALLEY, CA
NPI
1386700649
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Entity Type
Organization
Authorized Contact
JOHN C JACKSON
Md
530-272-0501
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G37527)
Enumeration Date
2006-12-29
Last Update Date
2020-08-22
Business Address
RIDGE MEDICAL GROUP INC.
10565 BRUNSWICK RD SUITE 1
GRASS VALLEY, CA 95945-9053
Phone number: 530-272-0501
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Mailing Address
RIDGE MEDICAL GROUP INC.
10565 BRUNSWICK RD SUITE 1
GRASS VALLEY, CA 95945-9053
Phone number: 530-272-0501
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