DEBRUIN RESEARCH, INC
Managed Care Organizations at Madison Ave, Citrus Heights, CA

License number
California 20A5579
Category
Managed Care Organizations
Type
Point of Service
Owner
Name: MARK IKE DEBRUIN D.O.
Title: OWNER
Phone: (916) 989-2929
Address
Address
9352 Madison Ave STE 1, Citrus Heights, CA 95662
National Provider ID: 1477989093
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DEBRUIN RESEARCH, INC

9352 Madison Ave STE 1, Orangevale, CA 95662

Registration:
Nov 30, 1998
State ID:
C2126616
Business type:
Articles of Incorporation
President:
Mark I. Debruin (President)
Agent:
Mark I Debruin,Orangevale, CA 95662 (Physical)

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