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1932255148
KOLVITA FAMILY MEDICAL GROUP, INC.
MISSION VIEJO, CA
NPI
1932255148
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Entity Type
Organization
Authorized Contact
LINDA MARLENE BOLLING
Owner
949-600-8990
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA A74559)
Enumeration Date
2007-01-28
Last Update Date
2012-09-28
Business Address
KOLVITA FAMILY MEDICAL GROUP, INC.
25982 PALA STE. 180
MISSION VIEJO, CA 92691-6719
Phone number: 949-600-8990
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Mailing Address
KOLVITA FAMILY MEDICAL GROUP, INC.
25982 PALA STE. 180
MISSION VIEJO, CA 92691-6719
Phone number: 949-600-8990
Copy
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