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1689235319
CENTER STATE WELLNESS LLC
CONCORD, NH
NPI
1689235319
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Entity Type
Organization
Authorized Contact
RUSSELL HOWARD
Authorized Official
603-556-7101
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-06-24
Last Update Date
2019-06-24
Business Address
CENTER STATE WELLNESS LLC
102 PLEASANT ST
CONCORD, NH 03301-3863
Phone number: 603-556-7101
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Mailing Address
CENTER STATE WELLNESS LLC
102 PLEASANT ST
CONCORD, NH 03301-3863
Phone number: 603-556-7101
Copy
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