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1134563125
LIBERTY WELLCARE, PLLC
DANVILLE, KY
NPI
1134563125
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Entity Type
Organization
Authorized Contact
IMAD A HADDAD
CEO
859-238-7756
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KY 37821)
Enumeration Date
2013-04-22
Last Update Date
2013-04-22
Business Address
LIBERTY WELLCARE, PLLC
216 BLUFFWOOD DR
DANVILLE, KY 40422-9788
Phone number: 859-238-7756
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Mailing Address
LIBERTY WELLCARE, PLLC
216 BLUFFWOOD DR
DANVILLE, KY 40422-9788
Phone number: 859-238-7756
Copy
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