Organization
SAN JUAN BASIN HEALTH DEPARTMENT
Active
Organization
SAN JUAN BASIN HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LIANE JOLLON RN (EXECUTIVE DIRECTOR)
(970) 247-5702
Entity
Organization
Contact information
Practice address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 247-5702
(970) 247-9126
Mailing address
281 SAWYER DR, DURANGO, CO 81303-3409
(970) 247-5702
(970) 247-9126
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04138681
—
CO
Enumeration date
01/11/2007
Last updated
09/22/2014
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