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1508295502
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC
BRAWLEY, CA
NPI
1508295502
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Entity Type
Organization
Authorized Contact
VACHASPATHI PALAKODETI
President
760-355-7730
Organization Subpart ?
Yes
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2013-11-11
Last Update Date
2013-11-20
Business Address
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC
608 G ST SUITE 1A
BRAWLEY, CA 92227-2568
Phone number: 760-351-1011
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Mailing Address
IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP, APC
516 W ATEN RD SUITE 2
IMPERIAL, CA 92251-9805
Phone number: 760-355-7730
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