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Organization

DEEPBLUE HEALTHCARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUHAMMAD BILAL KHAN (CHIEF OPERATIONS OFFICER)
(209) 561-3219
Entity
Organization

Contact information

Practice address
1101 S CRESCENT AVE, LODI, CA 95240-5601
(209) 561-3219
Mailing address
1101 S CRESCENT AVE, LODI, CA 95240-5601
(209) 561-3219

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/03/2019
Last updated
07/13/2021
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