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1215646039
CENTER STATE WELLNESS LLC
CONCORD, NH
NPI
1215646039
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Entity Type
Organization
Authorized Contact
RUSSELL ALLEN HOWARD
Ap RN
603-556-7101
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-11-21
Last Update Date
2024-01-25
Business Address
CENTER STATE WELLNESS LLC
60 COMMERCIAL ST STE 303
CONCORD, NH 03301-5096
Phone number: 603-556-7101
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Mailing Address
CENTER STATE WELLNESS LLC
60 COMMERCIAL ST STE 303
CONCORD, NH 03301-5096
Phone number: 603-556-7101
Copy
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