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1538444815
INNOVATIVE FAMILY CARE OF THE CAROLINA'S
DURHAM, NC
NPI
1538444815
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Entity Type
Organization
Authorized Contact
SHAWNTEL LEE PICHARDO
President
919-264-3398
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2011-10-18
Last Update Date
2011-10-18
Business Address
INNOVATIVE FAMILY CARE OF THE CAROLINA'S
2515 NC HWY 55 SUITE B
DURHAM, NC 27713-1374
Phone number: 919-596-0094
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Mailing Address
INNOVATIVE FAMILY CARE OF THE CAROLINA'S
2515 NC HWY 55 SUITE B
DURHAM, NC 27713-1374
Phone number: 919-596-0094
Copy
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