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1538653001
PREMIER INTERNAL MEDICINE LLC
MISHAWAKA, IN
NPI
1538653001
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Entity Type
Organization
Authorized Contact
JACQUELINE MOKFI
Owner
574-400-0668
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
PREMIER INTERNAL MEDICINE LLC
520 PARK PLACE CT STE 300
MISHAWAKA, IN 46545-3581
Phone number: 574-400-0668
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Mailing Address
PREMIER INTERNAL MEDICINE LLC
14533 SEDGWICK CT
GRANGER, IN 46530-4870
Phone number: 574-400-0668
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