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Organization
FIRST STEP OPTIMAL HEALTH CORPORATION
Active
Organization
FIRST STEP OPTIMAL HEALTH CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WAITS (OFFICE MGR)
(909) 322-3124
Entity
Organization
Contact information
Practice address
17290 JASMINE ST STE 101, VICTORVILLE, CA 92395-8300
(760) 951-2400
(951) 840-2088
Mailing address
17290 JASMINE ST STE 101, VICTORVILLE, CA 92395-8300
(760) 951-2400
(951) 840-2088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A552070
CA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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