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Organization
KAISER PERMANENTE
Active
Organization
KAISER PERMANENTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ERIN SHURTLEFF (MANAGER)
(209) 476-3904
Entity
Organization
Contact information
Practice address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-5445
(209) 476-3528
Mailing address
7373 WEST LN, STOCKTON, CA 95210-3377
(209) 476-5445
(209) 476-3528
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
LCS29352
CA
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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