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Organization
HENRY GO MD INC
Active
Organization
HENRY GO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY GO MD (PRESIDENT)
(916) 775-1711
Entity
Organization
Contact information
Practice address
11733 HIGHWAY 160, COURTLAND, CA 95615-0338
(916) 775-1711
(916) 775-2307
Mailing address
PO BOX 338, COURTLAND, CA 95615-0338
(916) 775-1711
(916) 775-2307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00A191200
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A191200
—
CA
Enumeration date
05/01/2007
Last updated
06/14/2010
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