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Organization
ASU- SANJACINTO SCHOOL BASED CLINIC
Active
Organization
ASU- SANJACINTO SCHOOL BASED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA FERGUSON (DIRECTOR)
(325) 655-7969
Entity
Organization
Contact information
Practice address
800 SPAULDING ST, SAN ANGELO, TX 76903-4930
(325) 655-7969
Mailing address
223 S ABE ST, SAN ANGELO, TX 76903-6305
(325) 655-7969
(325) 655-7976
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
509681
TX
Other
Enumeration date
08/18/2006
Last updated
10/23/2007
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