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Organization

CHURCHILL COUNTY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALEB CAGE (ADMINISTRATOR)
(775) 338-9151
Entity
Organization

Contact information

Practice address
485 W B ST, FALLON, NV 89406-2764
(775) 423-6695
Mailing address
485 W B ST, FALLON, NV 89406-2764
(775) 423-6695

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary

Other

Enumeration date
07/11/2022
Last updated
06/13/2023
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