Registry details
Type
Individual
Primary specialty
Family Medicine
Enumerated
Jul 12, 2011
License(s)
199481 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 20833 LONG BRANCH DR LASSEN MEDICAL GROUP INC | Cottonwood, CA 96022-8701 | 530-347-3418 |
| MAILING | 2450 SISTER MARY COLUMBA DR LASSEN MEDICAL GROUP INC. | Red Bluff, CA 96080-4356 | 530-527-0414 |
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