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Organization

BREATHING DISORDERS SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLA L TRUITT (CHEIF OPERATING OFFICER)
(405) 635-0004
Entity
Organization

Contact information

Practice address
1031 E LATHAM AVE, SUITE 4, HEMET, CA 92543-4425
(951) 765-6985
(951) 765-1035
Mailing address
PO BOX 269035, OKLAHOMA CITY, OK 73126-9035
(405) 635-0004
(405) 635-0009

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
CA

Other

Enumeration date
09/20/2005
Last updated
04/04/2008
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