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1720279441
WESTERN PACIFIC MED/CORP
GLENDALE, CA
NPI
1720279441
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Entity Type
Organization
Authorized Contact
MARK HICKMAN
CEO
818-956-3737
Organization Subpart ?
No
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
Enumeration Date
2007-08-07
Last Update Date
2007-09-05
Business Address
WESTERN PACIFIC MED/CORP
4632 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-956-3737
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Mailing Address
WESTERN PACIFIC MED/CORP
4632 SAN FERNANDO RD
GLENDALE, CA 91204-1822
Phone number: 818-956-3737
Copy
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