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Organization
INLAND EMPIRE INTEGRATED PAIN MANAGEMENT CENTER INC
Active
Organization
INLAND EMPIRE INTEGRATED PAIN MANAGEMENT CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT KRAGE (AUTHORIZED OFFICIAL)
(951) 808-5221
Entity
Organization
Contact information
Practice address
802 MAGNOLIA AVE STE 103, CORONA, CA 92879-3124
(951) 808-5221
Mailing address
802 MAGNOLIA AVE STE 103, CORONA, CA 92879-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/26/2021
Last updated
04/26/2021
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