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Organization

FULL CIRCLE HEALTH AND WELLNESS CENTER PLLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORIE MONIZ (MANAGER)
(509) 560-3928
Entity
Organization

Contact information

Practice address
208 S MAIN ST, OMAK, WA 98841-9755
(509) 560-3928
Mailing address
PO BOX 922, OMAK, WA 98841-0922
(509) 560-3928

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699336636
NIP
WA
01
1790123123
NPI
WA
01
1942821277
NPI
WA
Enumeration date
10/01/2020
Last updated
10/01/2020
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