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Organization
SUPPLEMENTAL HEALTH CARE
Active
Organization
SUPPLEMENTAL HEALTH CARE
Active
Parent organization
NO
Organization subpart
Yes
Provider details
NPI number
Legal business name
NO
Authorized official
ARACELI VILLAGRANA COTA (COTA)
(559) 646-3657
Entity
Organization
Contact information
Practice address
532 OAK ST, PARLIER, CA 93648-9658
(559) 646-3657
Mailing address
532 OAK ST, PARLIER, CA 93648-9658
(559) 646-3657
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
OTA 1273
CA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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