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1407621501
SENIOR DOC ILLINOIS PC
ORANGE, CA
NPI
1407621501
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Entity Type
Organization
Authorized Contact
JOHN M GEISS
CEO
855-434-7763
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-11-17
Last Update Date
2023-11-17
Business Address
SENIOR DOC ILLINOIS PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
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Mailing Address
SENIOR DOC ILLINOIS PC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
Copy
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