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1114071453
DEPARTMENT OF HEALTH SERVICES
SANTA ROSA, CA
NPI
1114071453
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Entity Type
Organization
Authorized Contact
DIANA STORNETTA
Accountant Iii Compliance
707-565-4782
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-01-23
Last Update Date
2007-12-18
Business Address
DEPARTMENT OF HEALTH SERVICES
155 N. PYTHIAN ROAD
SANTA ROSA, CA 95409
Phone number: 707-565-6350
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Mailing Address
DEPARTMENT OF HEALTH SERVICES
PO BOX 1539
SANTA ROSA, CA 95402-1539
Phone number:
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