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Organization
SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER
Active
Organization
SAN JOAQUIN COUNTY PUBLIC HEALTH WAIVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MITCHELL MPH (DIRECTOR PUBLIC HEALTH SERVICES)
(209) 468-3413
Entity
Organization
Contact information
Practice address
1601 E HAZELTON AVE, STOCKTON, CA 95205-6229
(209) 468-3413
(209) 468-3072
Mailing address
PO BOX 2009, STOCKTON, CA 95201-2009
(209) 468-3413
(209) 468-3072
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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