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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN K SCHWARTZ C.PED (OWNER)
(760) 872-1756
Entity
Organization

Contact information

Practice address
148 WILLOW ST, BISHOP, CA 93514-2719
(760) 872-1756
(760) 872-7160
Mailing address
148 WILLOW ST, BISHOP, CA 93514-2719
(760) 872-1756
(760) 872-7160

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPED2235
CA

Other

Enumeration date
11/14/2008
Last updated
11/14/2008
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