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SACRAMENTO, CA
NPI1558003749
Entity TypeOrganization
Authorized ContactJALANDHAR KONGARA
Manager
775-574-8106
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2022-04-08
Last Update Date2022-04-08
Business Address
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1401 21ST ST STE R
SACRAMENTO, CA 95811-5226
Phone number: 775-574-8106
Mailing Address
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1401 21ST ST STE R
SACRAMENTO, CA 95811-5226
Phone number:
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