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1528576675
PETALUMA SPECIALTY CENTER, LLC.
PETALUMA, CA
NPI
1528576675
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Entity Type
Organization
Authorized Contact
MICHAEL ISHU YANG
President
707-981-7995
Organization Subpart ?
No
Primary Taxonomy
261QA1903X Clinic/Center, Ambulatory Surgical
Enumeration Date
2018-01-10
Last Update Date
2018-04-12
Business Address
PETALUMA SPECIALTY CENTER, LLC.
1456 PROFESSIONAL DR STE 404
PETALUMA, CA 94954-6639
Phone number: 707-981-7995
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Mailing Address
PETALUMA SPECIALTY CENTER, LLC.
392 TESCONI CT
SANTA ROSA, CA 95401-4653
Phone number: 707-981-7995
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