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1265277115
LEGACY PRIMARY CARE PLLC
GRAND FORKS, ND
NPI
1265277115
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Entity Type
Organization
Authorized Contact
HEIDI WILLIAMS
Cred Spec
605-846-8239
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
LEGACY PRIMARY CARE PLLC
2100 S COLUMBIA RD STE 114
GRAND FORKS, ND 58201-5895
Phone number: 701-516-4637
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Mailing Address
LEGACY PRIMARY CARE PLLC
19580 SCOUT LN
SAINT ONGE, SD 57779-7913
Phone number:
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