Organization
DEBRUIN RESEARCH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK IKE DEBRUIN D.O. (OWNER)
(916) 989-2929
Entity
Organization
Contact information
Practice address
9352 MADISON AVE STE 1, ORANGEVALE, CA 95662-4981
(916) 989-2929
(916) 989-0322
Mailing address
9352 MADISON AVE STE 1, ORANGEVALE, CA 95662-4981
(916) 989-2929
(916) 989-0322
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
20A5579
CA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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