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1619594637
LEGACY MEDICAL LLC
BISMARCK, ND
NPI
1619594637
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Entity Type
Organization
Authorized Contact
JILL WILSON
Chief Operating Officer
701-516-4637
Organization Subpart ?
No
Primary Taxonomy
207QA0505X Family Medicine, Adult Medicine
Enumeration Date
2020-06-26
Last Update Date
2023-03-03
Business Address
LEGACY MEDICAL LLC
600 S 2ND ST STE 200
BISMARCK, ND 58504-5729
Phone number: 701-516-4637
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Mailing Address
LEGACY MEDICAL LLC
PO BOX 13238
GRAND FORKS, ND 58208-3238
Phone number: 701-516-4637
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