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1336832229
ELITE PRIMARY CARE AND TCM SERVICES LLC
RICHMOND, VA
NPI
1336832229
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Entity Type
Organization
Authorized Contact
ANGELLA RUSSELL
Owner
804-467-1628
Organization Subpart ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
Enumeration Date
2023-05-29
Last Update Date
2024-07-26
Business Address
ELITE PRIMARY CARE AND TCM SERVICES LLC
4795 BETHLEHEM RD STE G
RICHMOND, VA 23230-2516
Phone number: 804-467-1628
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Mailing Address
ELITE PRIMARY CARE AND TCM SERVICES LLC
4795 BETHLEHEM RD STE G
RICHMOND, VA 23230-2516
Phone number: 804-467-1628
Copy
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