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1013669381
INTERRA SW DIAGNOSTICS LLC
WEST HARTFORD, CT
NPI
1013669381
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Entity Type
Organization
Authorized Contact
GEORGE KHOURI
Sole Member
803-917-8378
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology Neurology
Enumeration Date
2022-01-19
Last Update Date
2022-01-19
Business Address
INTERRA SW DIAGNOSTICS LLC
1 MEMORIAL RD
WEST HARTFORD, CT 06107-2208
Phone number: 864-315-2627
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Mailing Address
INTERRA SW DIAGNOSTICS LLC
1 MEMORIAL RD
WEST HARTFORD, CT 06107-2208
Phone number:
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