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Organization
EXCELSIOR RANCH
Active
Organization
EXCELSIOR RANCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOPHIA AGUIRRE (BILLING MANAGER)
(563) 243-6054
Entity
Organization
Contact information
Practice address
25777 257TH ST, PRINCETON, IA 52768-9728
(309) 297-1211
Mailing address
1523 S BLUFF BLVD, CLINTON, IA 52732-6549
(563) 243-6054
(563) 243-6828
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
NULL
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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