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Organization
RAYMOND W. BLISS HEALTH CEMTER
Active
Organization
RAYMOND W. BLISS HEALTH CEMTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GUADALUPE VAN HUSS LPN (NURSE)
(520) 538-1546
Entity
Organization
Contact information
Practice address
2240 E. WINROW AVE., MEDDAC, FT. HUACHUCA, AZ 85613
(520) 538-1546
Mailing address
600 CHANTILLY DR, SIERRA VISTA, AZ 85635-4732
(520) 459-6698
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
LP028575
AZ
Other
Enumeration date
02/08/2006
Last updated
08/22/2020
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