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Organization
ST ANTOINE DE PADOUE HEALTH CLINIC CORP.
Active
Organization
ST ANTOINE DE PADOUE HEALTH CLINIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERGERETTE SAINT-VICTOR FNP (CEO)
(562) 977-5715
Entity
Organization
Contact information
Practice address
127 W 7TH ST, LONG BEACH, CA 90813-4344
(562) 324-6901
(562) 977-5715
Mailing address
127 W 7TH ST, LONG BEACH, CA 90813-4344
(562) 977-5715
(562) 977-5715
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
BU21412090
CA
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2015
Last updated
10/15/2015
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