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1053958082
DEDICATED MISSOURI HOLDING, LLC
MIAMI GARDENS, FL
NPI
1053958082
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Entity Type
Organization
Authorized Contact
MARY CHEN
Authorized Official
305-831-4722
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2019-12-10
Last Update Date
2024-10-31
Business Address
DEDICATED MISSOURI HOLDING, LLC
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
Phone number: 305-628-6117
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Mailing Address
DEDICATED MISSOURI HOLDING, LLC
1395 NW 167TH ST
MIAMI GARDENS, FL 33169-5710
Phone number: 305-628-6117
Copy
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