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Organization
FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE
Active
Organization
FULL CIRCLE CENTER FOR INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORINNE VIVIAN BASCH M.D. (OWNER)
(707) 840-4701
Entity
Organization
Contact information
Practice address
4641 VALLEY EAST BLVD # 2, ARCATA, CA 95521-4630
(707) 840-4701
(855) 420-6321
Mailing address
4641 VALLEY EAST BLVD # 2, ARCATA, CA 95521-4630
(707) 840-4701
(855) 420-6321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A51185
CA
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0094550
—
CA
Enumeration date
01/04/2007
Last updated
10/09/2016
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