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1417226804
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
LAKEWOOD, CA
NPI
1417226804
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Entity Type
Organization
Authorized Contact
KEVIN PARK
Md
562-633-2273
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712-2438
Phone number: 562-633-2273
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Mailing Address
BACK TO WORK ORTHOPEDIC MEDICAL GROUP
5203 LAKEWOOD BLVD
LAKEWOOD, CA 90712-2438
Phone number: 562-633-2273
Copy
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