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Organization
GOLDEN STATE MOBILE WOUND INC
Active
Organization
GOLDEN STATE MOBILE WOUND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENIFFER HAMILTON (PRESIDENT)
(209) 648-5353
Entity
Organization
Contact information
Practice address
10143 GORSE DR, STOCKTON, CA 95219-8816
(951) 990-0550
Mailing address
1613 EVANS AVE, CHEYENNE, WY 82001-4619
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
04/29/2026
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