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1538738042
AMAZING GRACE PRIMARY CARE LLC
LAREDO, TX
NPI
1538738042
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Entity Type
Organization
Authorized Contact
ANNABELLE WHALEN
Administrator
956-324-2289
Organization Subpart ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-06-18
Last Update Date
2021-06-18
Business Address
AMAZING GRACE PRIMARY CARE LLC
903 E EISTETTER ST
LAREDO, TX 78041-5054
Phone number: 956-324-2289
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Mailing Address
AMAZING GRACE PRIMARY CARE LLC
9040 LADY DI LOOP
LAREDO, TX 78045-8042
Phone number: 956-324-2289
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