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Organization

BACK IN THE SADDLE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ISAAC MUTABAZI (CEO)
(760) 240-3217
Entity
Organization

Contact information

Practice address
9775 MOCKINGBIRD AVE, APPLE VALLEY, CA 92308-8341
(760) 240-3217
(760) 240-3274
Mailing address
9775 MOCKINGBIRD AVE, APPLE VALLEY, CA 92308-8341
(760) 240-3217
(760) 240-3274

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
CA

Other

Enumeration date
08/29/2007
Last updated
08/29/2007
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