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1932354206
PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
CLEARLAKE, CA
NPI
1932354206
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Entity Type
Organization
Authorized Contact
KATHY KONDAS
Officer
973-251-1132
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2008-11-29
Last Update Date
2021-04-09
Business Address
PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
15630 18TH AVE
CLEARLAKE, CA 95422-9336
Phone number: 707-994-6486
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Mailing Address
PREMIER EMERGENCY PHYSICIANS OF CALIFORNIA MEDICAL GROUP PC
5565 CENTERVIEW DR STE 107
RALEIGH, NC 27606-3563
Phone number:
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