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1790057206
PREMIER ACO PHYSICIANS NETWORK, INC
LAKEWOOD, CA
NPI
1790057206
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Entity Type
Organization
Authorized Contact
CYNTHIA GUZMAN
CEO
562-602-1563
Organization Subpart ?
No
Primary Taxonomy
305R00000X Preferred Provider Organization
Enumeration Date
2012-01-30
Last Update Date
2012-01-30
Business Address
PREMIER ACO PHYSICIANS NETWORK, INC
4909 LAKEWOOD BLVD SUITE 200
LAKEWOOD, CA 90712
Phone number: 562-602-1563
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Mailing Address
PREMIER ACO PHYSICIANS NETWORK, INC
4909 LAKEWOOD BLVD SUITE 200
LAKEWOOD, CA 90712
Phone number: 562-602-1563
Copy
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