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1669155842
DENALI TICE MD INC.
FOLSOM, CA
NPI
1669155842
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Entity Type
Organization
Authorized Contact
DENALI TICE
President
916-400-9037
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2023-08-14
Last Update Date
2023-08-14
Business Address
DENALI TICE MD INC.
1024 IRON POINT RD
FOLSOM, CA 95630-8013
Phone number: 916-400-9037
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Mailing Address
DENALI TICE MD INC.
PO BOX 803
FOLSOM, CA 95763-0803
Phone number: 916-400-9037
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