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Organization

WELCH'S SHOE REPAIR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT M WELCH (OWNER)
(951) 658-2383
Entity
Organization

Contact information

Practice address
41819 E FLORIDA AVE, HEMET, CA 92544
(951) 658-2383
(951) 929-3396
Mailing address
41819 E FLORIDA AVE, HEMET, CA 92544
(951) 658-2383
(951) 929-3396

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED876
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
876
CPED
CA
Enumeration date
03/14/2007
Last updated
11/27/2007
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