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Organization
MCCLOUD HEALTHCARE CLINIC, INC.
Active
Organization
MCCLOUD HEALTHCARE CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CALEB OTT (CEO)
(530) 926-6309
Entity
Organization
Contact information
Practice address
4303 STAGECOACH RD, DUNSMUIR, CA 96025-1812
(530) 926-6309
Mailing address
PO BOX 1143, MCCLOUD, CA 96057-1143
(530) 964-2389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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