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1003430299
INNOVATIVE TREATMENT ASSOCIATES INC
CAMERON PARK, CA
NPI
1003430299
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Entity Type
Organization
Authorized Contact
JOHN ALLEN RULISON
President
530-391-9196
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2020-06-03
Last Update Date
2020-06-03
Business Address
INNOVATIVE TREATMENT ASSOCIATES INC
3581 PALMER DR STE 601
CAMERON PARK, CA 95682-8238
Phone number: 530-391-9196
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Mailing Address
INNOVATIVE TREATMENT ASSOCIATES INC
3031 CINSANT DR UNIT 2
CAMERON PARK, CA 95682-7004
Phone number: 530-391-9196
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