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Organization

COAST PHLEBOTOMY SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN DONOVAN (OWNER)
(760) 503-4453
Entity
Organization

Contact information

Practice address
3619 DEARBORN ST, OCEANSIDE, CA 92057-8622
(760) 503-4456
(858) 433-4424
Mailing address
3619 DEARBORN ST, OCEANSIDE, CA 92057-8622
(760) 503-4456

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00003547
LICENSE
CA
Enumeration date
10/22/2018
Last updated
10/22/2018
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