Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rural Health |
261QR1300X | B4[14] | Rural Health Clinic |
| NPI Number | 1922287127 |
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| LBN Legal business name | CITY OF WHEATON | ||||||||
| Authorized official | JOANN FOLTZ - (CEO) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/24/2007 | ||||||||
| Last updated | 07/06/2010 - About 16 years ago | ||||||||
| Identifiers |
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CITY OF WHEATON
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