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1134665789
SOUTHEAST PRIMARY CARE, PLLC
RALEIGH, NC
NPI
1134665789
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Entity Type
Organization
Authorized Contact
LESLIE RODERIC BAKER
President
828-230-5915
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2017-01-06
Last Update Date
2017-01-06
Business Address
SOUTHEAST PRIMARY CARE, PLLC
1911 FALLS VALLEY DR SUITE 105
RALEIGH, NC 27615-2495
Phone number: 919-249-4600
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Mailing Address
SOUTHEAST PRIMARY CARE, PLLC
2007 PATAPSCO DR
APEX, NC 27523-3922
Phone number: 828-230-5915
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