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1922013515
PACIFIC NEPHROLOGY MEDICAL GROUP
INGLEWOOD, CA
NPI
1922013515
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Entity Type
Organization
Authorized Contact
MICHAEL DYLAN HEALY
Partner
310-674-8600
Organization Subpart ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
Enumeration Date
2006-07-30
Last Update Date
2009-09-21
Business Address
PACIFIC NEPHROLOGY MEDICAL GROUP
323 N PRAIRIE AVE # 334
INGLEWOOD, CA 90301-4502
Phone number: 310-674-8600
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Mailing Address
PACIFIC NEPHROLOGY MEDICAL GROUP
323 N PRAIRIE AVE # 334
INGLEWOOD, CA 90301-4502
Phone number: 310-674-8600
Copy
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