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1134214356
LIFETIME FAMILY MEDICINE, LLC
GAINESVILLE, VA
NPI
1134214356
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Entity Type
Organization
Authorized Contact
THERESA BELBEN SHUPE
Owner
703-754-0425
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101058775)
Enumeration Date
2006-10-04
Last Update Date
2011-07-08
Business Address
LIFETIME FAMILY MEDICINE, LLC
14535 JOHN MARSHALL HWY SUITE 105
GAINESVILLE, VA 20155-4023
Phone number: 703-754-0425
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Mailing Address
LIFETIME FAMILY MEDICINE, LLC
14535 JOHN MARSHALL HWY SUITE 105
GAINESVILLE, VA 20155-4023
Phone number: 703-754-0425
Copy
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