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Organization
TERRELL B VANAKEN MD INC
Active
Organization
TERRELL B VANAKEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRELL B VANAKEN MD (OWNER)
(707) 694-2623
Entity
Organization
Contact information
Practice address
167 BOUNTY LN, VACAVILLE, CA 95687-3120
(707) 694-2623
Mailing address
167 BOUNTY LN, VACAVILLE, CA 95687-3120
(707) 694-2623
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
01/31/2024
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