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1578113221
COOSA FAMILY CARE LLC
RAINBOW CITY, AL
NPI
1578113221
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Entity Type
Organization
Authorized Contact
KRISTOPHER HOLDER
Owner/Manager
256-459-5132
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2019-09-15
Last Update Date
2022-10-31
Business Address
COOSA FAMILY CARE LLC
310 W GRAND AVE
RAINBOW CITY, AL 35906
Phone number: 256-459-5132
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Mailing Address
COOSA FAMILY CARE LLC
310 W GRAND AVE
RAINBOW CITY, AL 35906
Phone number: 256-459-5132
Copy
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