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Organization

MARY KAY MICHELIS MD INC

Active
Parent organization
HULL EYE SURGERY CENTER
Other names
HULL EYE CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
HULL EYE SURGERY CENTER
Authorized official
REGINALD SAMPSON MD (OFFICER)
(661) 945-4502
Entity
Organization

Contact information

Practice address
1739 W AVENUE J, LANCASTER, CA 93534-2703
(661) 945-4502
(661) 945-4841
Mailing address
1739 W AVENUE J, LANCASTER, CA 93534-2703
(661) 945-4502
(661) 945-4841

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
02/25/2008
Last updated
02/25/2008
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