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CRYSTAL J COX PA

Federally Qualified Health Center (FQHC) >> Clinic/Center >> Ambulatory Health Care Facilities

Registrant NPI Number: 1811195100

Individual Registrant:
 CRYSTAL J COX PA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1381 UNIVERSITY ST  HEALDSBURG, CA 95448-3314 US
Tel: 707-433-5494  Fax: --

Contact information for business:
1381 UNIVERSITY AVE  HEALDSBURG, CA 95448 US
Tel: 707-433-5494  Fax: --

Registration Information:
NPI: 1811195100
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QF0400XAmbulatory Health Care Facilities
Clinic/Center
Federally Qualified Health Center (FQHC)
CA12696

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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