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1639561806
BALANCED LIFE PRIMARY CARE, LLC
OWENSBORO, KY
NPI
1639561806
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Entity Type
Organization
Authorized Contact
RANDALL E KING
Owner
270-686-6168
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2015-02-25
Last Update Date
2015-02-25
Business Address
BALANCED LIFE PRIMARY CARE, LLC
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303-7805
Phone number: 270-686-6168
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Mailing Address
BALANCED LIFE PRIMARY CARE, LLC
3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303-7805
Phone number: 270-686-6168
Copy
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