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Organization

GENESIS HEALTH, LLC

Active
Other names
Raya Primary Care
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN HASSETT (CEO)
(928) 716-6978
Entity
Organization

Contact information

Practice address
2055 HIGHWAY 95, BULLHEAD CITY, AZ 86442-6004
(928) 278-4354
Mailing address
5059 S LAKEWOOD RD, FORT MOHAVE, AZ 86426-6501

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary

Other

Enumeration date
03/15/2024
Last updated
03/20/2024
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