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1447508809
CLUBMD, LLC
BOWLING GREEN, KY
NPI
1447508809
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Entity Type
Organization
Authorized Contact
ERIC WARREN BLETZINGER
Vice President
270-780-2825
Organization Subpart ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2012-08-16
Last Update Date
2012-08-16
Business Address
CLUBMD, LLC
1065 ASHLEY ST SUITE 200
BOWLING GREEN, KY 42103-3400
Phone number: 270-467-0010
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Mailing Address
CLUBMD, LLC
PO BOX 1094
BOWLING GREEN, KY 42102-1094
Phone number:
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