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1710905690
FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
APPLE VALLEY, CA
NPI
1710905690
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Entity Type
Organization
Authorized Contact
JAMES KRIDER
Doctor
760-242-1234
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G48897)
Enumeration Date
2006-07-18
Last Update Date
2020-05-14
Business Address
FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
18182 US HIGHWAY 18 SUITE 105
APPLE VALLEY, CA 92307-2200
Phone number: 760-242-1234
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Mailing Address
FORMULA MEDICAL GROUP A PROFESSIONAL MEDICAL CORPORATION
18182 US HIGHWAY 18 SUITE 105
APPLE VALLEY, CA 92307-2200
Phone number: 760-242-1234
Copy
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