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1932954260
SENIOR DOC WISCONSIN SC
ORANGE, CA
NPI
1932954260
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Entity Type
Organization
Authorized Contact
ANGELICA CONTACT
Credentialing
855-434-7763
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2024-04-19
Last Update Date
2024-10-11
Business Address
SENIOR DOC WISCONSIN SC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
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Mailing Address
SENIOR DOC WISCONSIN SC
2592 N SANTIAGO BLVD
ORANGE, CA 92867-1862
Phone number: 855-434-7763
Copy
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