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1215988845
RISING STAR WELLNESS CENTER PLC
TRAVERSE CITY, MI
NPI
1215988845
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Entity Type
Organization
Authorized Contact
FLORA ERMENIA BIANCALANA
Owner
231-932-1988
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-05-16
Last Update Date
2013-06-14
Business Address
RISING STAR WELLNESS CENTER PLC
3189 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684-4772
Phone number: 231-932-1988
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Mailing Address
RISING STAR WELLNESS CENTER PLC
3189 LOGAN VALLEY RD
TRAVERSE CITY, MI 49684-4772
Phone number: 231-932-1988
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