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1912347261
1150 MAIN STREET INC
WATSONVILLE, CA
NPI
1912347261
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Entity Type
Organization
Authorized Contact
SHIRLEY L DICKINSON
Manager
831-728-0551
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G56281)
Enumeration Date
2013-07-01
Last Update Date
2013-07-01
Business Address
1150 MAIN STREET INC
1150 MAIN ST STE 3
WATSONVILLE, CA 95076-3760
Phone number: 831-728-0551
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Mailing Address
1150 MAIN STREET INC
1150 MAIN ST STE 3
WATSONVILLE, CA 95076-3760
Phone number: 831-728-0551
Copy
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