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Organization
TIMOTHY P OBRIEN DBA ETA SUPPLIES
Active
Organization
TIMOTHY P OBRIEN DBA ETA SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J PANCONI (PRESIDENT)
(626) 792-4700
Entity
Organization
Contact information
Practice address
1518 LINDA VISTA AVE, PASADENA, CA 91103-1953
(626) 792-4700
Mailing address
1518 LINDA VISTA AVE, PASADENA, CA 91103-1953
(626) 792-4700
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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