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Organization
TRINITY HEALTHCARE ASSOCIATES
Active
Organization
TRINITY HEALTHCARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA LEE BAGWELL PHD, FNP-C (PRESIDENT)
(530) 824-5401
Entity
Organization
Contact information
Practice address
145 SOLANO ST, CORNING, CA 96021-3511
(530) 824-5401
(530) 824-1188
Mailing address
145 SOLANO ST, CORNING, CA 96021-3511
(530) 824-5401
(530) 824-1188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A19505
CA
363LF0000X
Family Nurse Practitioner
363069
CA
Other
Enumeration date
05/14/2010
Last updated
05/14/2010
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