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1154539591
PRIMARY HEALTHCARE GROUP INC
LAFAYETTE, TN
NPI
1154539591
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Entity Type
Organization
Authorized Contact
PAUL W BALLOU
Secretary
615-688-2273
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2007-05-18
Last Update Date
2007-11-28
Business Address
PRIMARY HEALTHCARE GROUP INC
207 HIGHWAY 52 BYP W
LAFAYETTE, TN 37083-1728
Phone number: 615-688-2273
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Mailing Address
PRIMARY HEALTHCARE GROUP INC
207 HIGHWAY 52 BYP W
LAFAYETTE, TN 37083-1728
Phone number: 615-688-2273
Copy
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