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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