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1619113248
COASTAL VEIN AND COSMETIC CENTER
IRVINE, CA
NPI
1619113248
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Entity Type
Organization
Authorized Contact
ELLEN TERESA SONG
President
714-904-5594
Organization Subpart ?
No
Primary Taxonomy
202K00000X
(Licence: CA A86825)
Enumeration Date
2009-01-03
Last Update Date
2009-01-03
Business Address
COASTAL VEIN AND COSMETIC CENTER
62 CORPORATE PARK STE 120
IRVINE, CA 92606-3142
Phone number: 949-701-3394
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Mailing Address
COASTAL VEIN AND COSMETIC CENTER
62 CORPORATE PARK STE 120
IRVINE, CA 92606-3142
Phone number: 949-701-3394
Copy
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