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1164969168
GRACE KLINIC, LLC
RALEIGH, NC
NPI
1164969168
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Entity Type
Organization
Authorized Contact
EDDYSON OKHIHAN
CEO
919-884-6191
Organization Subpart ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2017-01-27
Last Update Date
2017-01-27
Business Address
GRACE KLINIC, LLC
6516 FALLS OF NEUSE RD 110
RALEIGH, NC 27615-6847
Phone number: 919-884-6191
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Mailing Address
GRACE KLINIC, LLC
6516 FALLS OF NEUSE RD 110
RALEIGH, NC 27615-6847
Phone number: 919-884-6191
Copy
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