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1740602309
ANNADEL MEDICAL GROUP
SANTA ROSA, CA
NPI
1740602309
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Entity Type
Organization
Authorized Contact
BOB JUST
COO
707-303-8307
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: CA G22056)
Enumeration Date
2014-01-15
Last Update Date
2014-01-15
Business Address
ANNADEL MEDICAL GROUP
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-303-8307
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Mailing Address
ANNADEL MEDICAL GROUP
1165 MONTGOMERY DR
SANTA ROSA, CA 95405-4801
Phone number: 707-303-8307
Copy
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