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1346950433
LIVING WATERS FAMILY MEDICINE LLC
HAGERSTOWN, MD
NPI
1346950433
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Entity Type
Organization
Authorized Contact
LORA COLE
Owner
301-900-5313
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2022-11-29
Last Update Date
2023-03-24
Business Address
LIVING WATERS FAMILY MEDICINE LLC
1260 MARYLAND AVE STE 114
HAGERSTOWN, MD 21740-7248
Phone number: 301-900-5313
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Mailing Address
LIVING WATERS FAMILY MEDICINE LLC
PO BOX 602
WILLIAMSPORT, MD 21795-0602
Phone number: 301-900-5313
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