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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LELAND DAVID JOHNSON (OWNER)
(530) 226-9570
Entity
Organization

Contact information

Practice address
8865 AIRPORT RD, STE A, REDDING, CA 96002-9400
(530) 226-9570
Mailing address
8865 AIRPORT RD, STE A, REDDING, CA 96002-9400
(530) 226-9570

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
20694
CA

Other

Enumeration date
07/11/2006
Last updated
07/21/2022
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