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1265617674
CENTENNIAL PRIMARY CARE LLC
LAWRENCEBURG, TN
NPI
1265617674
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Entity Type
Organization
Authorized Contact
GARY DUNCAN
Vice President
954-767-5716
Organization Subpart ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2008-01-03
Last Update Date
2008-06-02
Business Address
CENTENNIAL PRIMARY CARE LLC
1009 N LOCUST AVE SUITE 1
LAWRENCEBURG, TN 38464-2706
Phone number: 931-762-0531
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Mailing Address
CENTENNIAL PRIMARY CARE LLC
1009 N LOCUST AVE SUITE 1
LAWRENCEBURG, TN 38464-2706
Phone number: 931-762-0531
Copy
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