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1215306816
GATEWAY PRIMARY CARE, LLC
OWENSBORO, KY
NPI
1215306816
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Entity Type
Organization
Authorized Contact
JOHN MCNULTY
Owner
270-663-9410
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2015-09-24
Last Update Date
2017-09-01
Business Address
GATEWAY PRIMARY CARE, LLC
3245 MOUNT MORIAH AVE SUITE 9
OWENSBORO, KY 42303-7834
Phone number: 270-683-2209
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Mailing Address
GATEWAY PRIMARY CARE, LLC
3245 MOUNT MORIAH AVE SUITE 9
OWENSBORO, KY 42303-7834
Phone number: 270-683-2209
Copy
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