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NPI Verification

National Provider Identifier: 1912347261

1150 Main Street INC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1150 MAIN ST STE 3

WATSONVILLE, CA 950763760

Phone: 831-728-0551

NPI Enumeration Date

July 1, 2013

NPI Number

1912347261

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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