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1164487823
IMMANUEL FAMILY PRACTICE
GREENSBORO, NC
NPI
1164487823
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Entity Type
Organization
Authorized Contact
BETTI D REESE
President
336-856-9996
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2006-04-18
Last Update Date
2007-12-10
Business Address
IMMANUEL FAMILY PRACTICE
5500 W FRIENDLY AVE SUITE 201
GREENSBORO, NC 27410-4212
Phone number: 336-856-9996
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Mailing Address
IMMANUEL FAMILY PRACTICE
5500 W FRIENDLY AVE SUITE 201
GREENSBORO, NC 27410-4212
Phone number: 336-856-9996
Copy
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