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Organization
POLADIAN & MAMIGONIAN
Active
Organization
POLADIAN & MAMIGONIAN
Active
Other names
Westside Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN M MAMIGONIAN DC (OWNER/PARTNER)
(559) 930-9351
Entity
Organization
Contact information
Practice address
1107 O ST, FIREBAUGH, CA 93622-2224
(559) 659-9000
(559) 659-9017
Mailing address
1107 O ST, FIREBAUGH, CA 93622-2224
(559) 659-9000
(559) 659-9017
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
21046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ269732
MCARE
CA
Enumeration date
09/13/2007
Last updated
08/19/2008
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