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1942548342
SAN MIGUEL COMMUNITY CLINIC
POMONA, CA
NPI
1942548342
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Entity Type
Organization
Authorized Contact
KJ LAESSIG
Executive Director
213-742-0255
Organization Subpart ?
Yes
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2013-01-21
Last Update Date
2013-01-21
Business Address
SAN MIGUEL COMMUNITY CLINIC
825 N PARK AVE
POMONA, CA 91768-3002
Phone number: 909-622-9988
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Mailing Address
SAN MIGUEL COMMUNITY CLINIC
825 N PARK AVE
POMONA, CA 91768-3002
Phone number: 909-622-9988
Copy
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