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1710694161
PROVIDENCE AMBULATORY SERVICES INC
RIVERSIDE, CA
NPI
1710694161
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Entity Type
Organization
Authorized Contact
NAWAL BADRAN
President
951-775-2407
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2022-11-03
Last Update Date
2022-11-03
Business Address
PROVIDENCE AMBULATORY SERVICES INC
3975 JACKSON ST STE 105
RIVERSIDE, CA 92503-3945
Phone number: 951-775-2407
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Mailing Address
PROVIDENCE AMBULATORY SERVICES INC
3975 JACKSON ST STE 105
RIVERSIDE, CA 92503-3945
Phone number: 951-775-2407
Copy
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