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Organization
ST JOSEPH MEDICAL OF BURBANK, INC.
Active
Organization
ST JOSEPH MEDICAL OF BURBANK, INC.
Active
Other names
St Joseph Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUTHER AGONOY (VICE PRESIDENT)
(818) 846-3279
Entity
Organization
Contact information
Practice address
2821 W BURBANK BLVD, BURBANK, CA 91505-2308
(818) 846-3279
Mailing address
2821 W BURBANK BLVD, BURBANK, CA 91505-2308
(818) 846-3279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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