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90 Se Klah Che Min Dr Shelton WA 98584-9216 | |
(360) 427-9006 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 90 Se Klah Che Min Dr, Shelton, Washington |
Authorized Official Name and Position | Whitney Jones (DIRECTOR) |
Authorized Official Contact | 3604279006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 | 90 Se Klah Che Min Dr Shelton WA 98584-9216 Ph: (360) 427-9006 |
NPI Number | 1114135779 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114135779 | NPI | - | NPPES |
7003767 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (Washington) | Primary |
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