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Organization
ASSOCIATED WOMENS MEDICAL CLINIC INC
Active
Organization
ASSOCIATED WOMENS MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KRISHNA K SRIVASTAVA (SECRETARY)
(909) 985-0293
Entity
Organization
Contact information
Practice address
811 E ELEVENTH STREET, #104, UPLAND, CA 91786
(909) 985-0793
(909) 985-8326
Mailing address
811 E ELEVENTH STREET, #104, UPLAND, CA 91786
(909) 985-0793
(909) 985-8326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
07/22/2013
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