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Organization

SAN CARLOS APACHE TRIBE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WENDSLER NOSIE SR. (TRIBAL CHAIRMAN)
(928) 475-2361
Entity
Organization

Contact information

Practice address
1 MOHAVE AVE, SAN CARLOS, AZ 85550
(928) 475-5924
Mailing address
P.O. BOX 0, SAN CARLOS, AZ 85550
(928) 475-2361

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
12/01/2006
Last updated
11/17/2009
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