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1649222969
BLUEGRASS PRIMARY CARE LLC
LEXINGTON, KY
NPI
1649222969
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Entity Type
Organization
Authorized Contact
ANN S. GILES
O Wner
859-219-2828
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2006-05-16
Last Update Date
2008-07-25
Business Address
BLUEGRASS PRIMARY CARE LLC
135 EAST MAKWELL ST. SUITE 200
LEXINGTON, KY 40508
Phone number: 859-422-4363
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Mailing Address
BLUEGRASS PRIMARY CARE LLC
P.O. BOX 23523
LEXINGTON, KY 40523-3523
Phone number: 859-422-4363
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