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9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 | |
(916) 691-4300 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 9281 Office Park Cir, Elk Grove, California |
Authorized Official Name and Position | Glenda Goodwin (PRESIDENT) |
Authorized Official Contact | 9166914300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9281 Office Park Circle Suite 120 Elk Grove CA 95758 Ph: (916) 691-4300 | 9281 Office Park Cir Suite 120 Elk Grove CA 95758-8068 Ph: (916) 691-4300 |
NPI Number | 1093010159 |
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Provider Enumeration Date | 01/21/2011 |
Last Update Date | 01/21/2011 |
Identifier | Type | State | Issuer |
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1093010159 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | A71660 (California) | Primary |
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