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1417511924
MARATHON HEALTH, LLC
POPLAR BLUFF, MO
NPI
1417511924
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Entity Type
Organization
Authorized Contact
JERRY FORD
CEO
802-857-0400
Organization Subpart ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2019-04-30
Last Update Date
2019-04-30
Business Address
MARATHON HEALTH, LLC
725 HIGHWAY 142
POPLAR BLUFF, MO 63901-8159
Phone number: 573-312-3767
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Mailing Address
MARATHON HEALTH, LLC
PO BOX 5
WINOOSKI, VT 05404-0005
Phone number:
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