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1609177021
COMMONWEALTH QUALITY MEDICAL MANAGEMENT, LLC
PRESTONSBURG, KY
NPI
1609177021
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Entity Type
Organization
Authorized Contact
SUSAN JUSTICE
Co Owner
606-769-6824
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-11-17
Last Update Date
2010-11-17
Business Address
COMMONWEALTH QUALITY MEDICAL MANAGEMENT, LLC
387 EDGEWOOD LN
PRESTONSBURG, KY 41653-9196
Phone number: 606-769-6824
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Mailing Address
COMMONWEALTH QUALITY MEDICAL MANAGEMENT, LLC
PO BOX 1747
PRESTONSBURG, KY 41653-5747
Phone number: 606-769-6824
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