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1952498867
MANUEL MEDINA
SANTA ANA, CA
NPI
1952498867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA PA13808)
Enumeration Date
2006-10-10
Last Update Date
2007-07-08
Business Address
MANUEL MEDINA PAC
610 W 17TH ST
SANTA ANA, CA 92706-3621
Phone number: 714-541-4090
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Mailing Address
MANUEL MEDINA PAC
610 W 17TH ST
SANTA ANA, CA 92706-3621
Phone number: 714-541-4090
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