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1295219210
WESTERN TIDEWATER FREE CLINIC INC
SUFFOLK, VA
NPI
1295219210
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Entity Type
Organization
Authorized Contact
CHESTER MARVIN HART
Executive Director
757-923-1060
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2018-09-17
Last Update Date
2018-09-17
Business Address
WESTERN TIDEWATER FREE CLINIC INC
2019 MEADE PKWY
SUFFOLK, VA 23434-4259
Phone number: 757-923-1060
Copy
Mailing Address
WESTERN TIDEWATER FREE CLINIC INC
2019 MEADE PKWY
SUFFOLK, VA 23434-4259
Phone number: 757-923-1060
Copy
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