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1538644802
BAY BACK CLINICAL INFUSIONS PC
COSTA MESA, CA
NPI
1538644802
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Entity Type
Organization
Authorized Contact
JOHN EDWARD HUMISTON
Family Medicine
619-550-7636
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2018-10-02
Last Update Date
2018-10-02
Business Address
BAY BACK CLINICAL INFUSIONS PC
2675 IRVINE AVE STE 116
COSTA MESA, CA 92627-6604
Phone number: 310-740-7864
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Mailing Address
BAY BACK CLINICAL INFUSIONS PC
3943 IRVINE BLVD STE 628
IRVINE, CA 92602-2400
Phone number: 310-740-7864
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