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Individual

GERALDINE A OGANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADCA

Contact information

Practice address
317 W HENDERSON AVE, PORTERVILLE, CA 93257-1732
(559) 781-8585
(559) 791-0183
Mailing address
641 W. OAKMONT AVENUE, PORTERVILLE, CA 93257
(559) 781-6219
(559) 791-0183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
I8494705
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5442
MEDI-CAL
CA
Enumeration date
06/28/2007
Last updated
07/08/2007
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