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NPI Provider: 1275539793
Contact Name: Wofford Michael
Position: Clinic Manager
Phone: (530) 257-2542
Lassen Indian Health Center Information:
Lassen Indian Health Center organization have npi 1275539793, taxonomy code is 261Q00000X with license number is RN300870 in . This Business address located in 795 Joaquin St, Susanville, CA 96130 California. Get directions of Lassen Indian Health Center.
Practice Location
Address: 795 Joaquin St, Susanville, CA 96130
Phone: (530) 257-2542
Business Location
Address: 795 Joaquin St, Susanville, CA 96130
Phone: (530) 257-2542
Fax: (530) 251-5208
Taxonomy
Taxonomy Code: 261Q00000X
License Number: RN300870
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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