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1508173204
PORTLAND IOM, LLC
NASHVILLE, TN
NPI
1508173204
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Entity Type
Organization
Authorized Contact
CHRISTINA COOK
CEO/President
615-522-1332
Organization Subpart ?
No
Primary Taxonomy
261QM2500X Clinic/Center, Medical Specialty
Enumeration Date
2010-09-02
Last Update Date
2010-09-02
Business Address
PORTLAND IOM, LLC
DC2 209 10TH AVE S SUITE 232
NASHVILLE, TN 37203
Phone number: 615-712-9574
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Mailing Address
PORTLAND IOM, LLC
209 10TH AVE SOUTH SUITE 232
NASHVILLE, TN 37203
Phone number: 615-712-9574
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