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Organization

CENTRAL COAST HEALTH SERVICES, LLC

Active
Other names
Miracle-Ear
Organization subpart
No

Provider details

NPI number
Authorized official
CONNIE JUNE HYLTON (INSURANCE SPECIALIST)
(360) 208-7801
Entity
Organization

Contact information

Practice address
531 N H ST, SUITE B, LOMPOC, CA 93436-5323
(805) 724-3273
(208) 475-4507
Mailing address
1059 E IRON EAGLE DR, SUITE 175, EAGLE, ID 83616-6855
(360) 208-7801
(208) 475-4507

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
BR616024
CA

Other

Enumeration date
11/29/2016
Last updated
11/29/2016
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