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1851647952
VENTURE MEDICAL 21 INC
EWA BEACH, HI
NPI
1851647952
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Entity Type
Organization
Authorized Contact
JOSE D REQUE
President
808-531-7878
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2012-07-26
Last Update Date
2014-08-15
Business Address
VENTURE MEDICAL 21 INC
91-896 MAKULE RD STE 102
EWA BEACH, HI 96706-2543
Phone number: 808-689-4414
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Mailing Address
VENTURE MEDICAL 21 INC
810 RICHARDS ST STE 990
HONOLULU, HI 96813-4722
Phone number: 808-531-7878
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