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1609305077
GENESIS OB ASSOCIATES, PC
VALLEJO, CA
NPI
1609305077
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Entity Type
Organization
Authorized Contact
TODD JACKS
Administrator
916-330-4259
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2017-06-08
Last Update Date
2017-06-08
Business Address
GENESIS OB ASSOCIATES, PC
300 HOSPITAL DR
VALLEJO, CA 94589-2574
Phone number: 916-330-4259
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Mailing Address
GENESIS OB ASSOCIATES, PC
4944 WINDPLAY DR STE 200
EL DORADO HILLS, CA 95762-9310
Phone number: 916-330-5259
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