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1508884073
PLACERVILLE FAMILY PRACTICE MEDICAL GROUP, INC
PLACERVILLE, CA
NPI
1508884073
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Entity Type
Organization
Authorized Contact
GARY W.O. YOUNG
President
530-626-8300
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-07-17
Last Update Date
2020-08-22
Business Address
PLACERVILLE FAMILY PRACTICE MEDICAL GROUP, INC
905 SPRING ST
PLACERVILLE, CA 95667-4511
Phone number: 530-626-8300
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Mailing Address
PLACERVILLE FAMILY PRACTICE MEDICAL GROUP, INC
905 SPRING ST
PLACERVILLE, CA 95667-4511
Phone number: 530-626-8300
Copy
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