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1150 MAIN STREET INC — NPI 1912347261 — Family Medicine — (CA)

1150 MAIN STREET INC — NPI 1912347261 — Family Medicine — (CA) is one of 9,000 providers in the NPIVerify dataset. Key details — Provider name: 1150 MAIN STREET INC; NPI number: 1912347261; Entity type: Organization.

Provider name1150 MAIN STREET INC
NPI number1912347261
Entity typeOrganization
Primary specialtyFamily Medicine
StateCA
CityWATSONVILLE
ZIP code950763760
Phone831-728-0551
NPI statusA
Enumeration date2013-07-01
Last updated2013-07-01

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