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5300 Highway 49 North Mariposa CA 95338-1210 | |
(209) 742-6601 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 5300 Highway 49 North, Mariposa, California |
Authorized Official Name and Position | Robert Rose (OWNER) |
Authorized Official Contact | 2097426601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1210 Mariposa CA 95338-1210 Ph: (209) 742-6601 | 5300 Highway 49 North Mariposa CA 95338-1210 Ph: (209) 742-6601 |
NPI Number | 1942625652 |
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Provider Enumeration Date | 03/04/2014 |
Last Update Date | 09/07/2016 |
Identifier | Type | State | Issuer |
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1942625652 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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