Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health, State or Local |
261QP0905X |
| NPI # | 1457411035 |
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| LBN Legal business name | SAN JUAN BASIN HEALTH DEPARTMENT | ||||
| Authorized official | LIANE JOLLON - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | Yes | ||||
| Enumeration date | 12/12/2006 | ||||
| Last updated | 09/22/2014 - About 12 years ago | ||||
| Identifiers |
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