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1417650847
TRI STATE MEDICAL LLC
MASON, OH
NPI
1417650847
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Entity Type
Organization
Authorized Contact
STEPHEN ERICSON
Member
937-681-9258
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-03-24
Last Update Date
2023-03-24
Business Address
TRI STATE MEDICAL LLC
5633 TYLERSVILLE RD STE B
MASON, OH 45040-2533
Phone number: 937-681-9258
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Mailing Address
TRI STATE MEDICAL LLC
5633 TYLERSVILLE RD STE B
MASON, OH 45040-2533
Phone number:
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