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Organization

COUNTY OF SAN JOAQUIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL JUDSON (LIEUTENANT)
(209) 468-4179
Entity
Organization

Contact information

Practice address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4179
Mailing address
7000 MICHAEL CANLIS WAY, FRENCH CAMP, CA 95231-9781
(209) 468-4179

Taxonomy

Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary

Other

Enumeration date
05/07/2024
Last updated
05/07/2024
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