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Organization
MT. SAN ANTONIO COLLEGE
Active
Organization
MT. SAN ANTONIO COLLEGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA SAMPLES RN (DIRECTOR, STUDENT HEALTH SERVICES)
(909) 594-5611
Entity
Organization
Contact information
Practice address
1100 N GRAND AVE, 67B, WALNUT, CA 91789-1341
(909) 594-5611
(909) 468-3997
Mailing address
1100 N GRAND AVE, 67B, WALNUT, CA 91789-1341
(909) 591-5611
(909) 468-3997
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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