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Organization

MASON COUNTY MEDIC ONE, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE SCOTT (MGR A/R)
(360) 359-5666
Entity
Organization

Contact information

Practice address
2019 JEFFERSON ST, SHELTON, WA 98584-2042
(360) 438-1515
(360) 493-0191
Mailing address
P O BOX 5396, LACEY, WA 98509-5396
(360) 438-1515
(360) 493-0191

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
23X01
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9023094
WA
Enumeration date
06/24/2006
Last updated
02/26/2010
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