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1578831848
BLUEGRASS PRIMARY CARE MEDICINE LLC
ELIZABETHTOWN, KY
NPI
1578831848
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Entity Type
Organization
Authorized Contact
SYED R QUADRI
Managing Member
270-769-0892
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2011-12-01
Last Update Date
2011-12-01
Business Address
BLUEGRASS PRIMARY CARE MEDICINE LLC
914 N DIXIE AVE STE 302
ELIZABETHTOWN, KY 42701-2515
Phone number: 270-769-0892
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Mailing Address
BLUEGRASS PRIMARY CARE MEDICINE LLC
914 N DIXIE AVE STE 302
ELIZABETHTOWN, KY 42701-2515
Phone number: 270-769-0892
Copy
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