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1508269523
COUNTRY CLUB MEDICAL CENTER LLC
EL PASO, TX
NPI
1508269523
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Entity Type
Organization
Authorized Contact
TRACY EDWARD SHORT
Owner
915-474-2454
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: TX J0549)
Enumeration Date
2014-10-04
Last Update Date
2014-12-12
Business Address
COUNTRY CLUB MEDICAL CENTER LLC
8041 N MESA ST SUITE B-2
EL PASO, TX 79932-1735
Phone number: 915-474-2454
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Mailing Address
COUNTRY CLUB MEDICAL CENTER LLC
8041 N MESA ST SUITE B-2
EL PASO, TX 79932-1735
Phone number: 915-474-2454
Copy
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