| |
386 W Line St Bishop CA 93514-3413 | |
(760) 709-0262 | |
(760) 923-6816 |
Full Name | |
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Speciality | Social Worker - Clinical |
Location | 386 W Line St, Bishop, California |
Authorized Official Name and Position | Daniel Aubry Ranson (OWNER) |
Authorized Official Contact | 7605867746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 9190 Mammoth Lakes CA 93546-9190 Ph: (786) 586-7746 | 386 W Line St Bishop CA 93514-3413 Ph: (760) 709-0262 |
NPI Number | 1598278467 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 10/31/2024 |
Certification Date | 10/31/2024 |
Identifier | Type | State | Issuer |
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1598278467 | NPI | - | NPPES |
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