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1700610094
SENIOR DOC NEW JERSEY PC
SANTA ANA, CA
NPI
1700610094
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Entity Type
Organization
Authorized Contact
ANGELICA L SOTO
Credentialing Specialist
714-702-5145
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-08-28
Last Update Date
2024-08-28
Business Address
SENIOR DOC NEW JERSEY PC
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8714
Phone number: 714-702-5145
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Mailing Address
SENIOR DOC NEW JERSEY PC
5 HUTTON CENTRE DR STE 950
SANTA ANA, CA 92707-8714
Phone number: 714-702-5145
Copy
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