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Organization
NOBLE AMA IPA
Active
Organization
NOBLE AMA IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BELTRAN (ADMINISTRATOR)
(760) 941-7309
Entity
Organization
Contact information
Practice address
161 THUNDER DR, SUITE 212, VISTA, CA 92083-6016
(760) 941-7309
Mailing address
PO BOX 4909, OCEANSIDE, CA 92052-4909
(760) 941-7309
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
05/25/2007
Last updated
11/16/2016
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