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Organization
THREE RIVERS SPECIAL POPULATIONS COOP
Active
Organization
THREE RIVERS SPECIAL POPULATIONS COOP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL MICHALEWICZ (DIRECTOR)
(325) 655-6768
Entity
Organization
Contact information
Practice address
8207 US HIGHWAY 87 N, SAN ANGELO, TX 76901-7408
(325) 655-6768
(325) 655-6915
Mailing address
8207 US HIGHWAY 87 N, SAN ANGELO, TX 76901-7408
(325) 655-6768
(325) 655-6915
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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