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1720332349
LIBERTY HEALTHCARE LLC
VIRGINIA BEACH, VA
NPI
1720332349
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Entity Type
Organization
Authorized Contact
DERK PARDOE
Partner
801-808-2357
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 140177)
Enumeration Date
2012-11-05
Last Update Date
2012-11-05
Business Address
LIBERTY HEALTHCARE LLC
5589 GREENWICH RD SUITE 175
VIRGINIA BEACH, VA 23462-6565
Phone number: 757-216-9115
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Mailing Address
LIBERTY HEALTHCARE LLC
3454 E STONE MOUNTAIN LN
SANDY, UT 84092-6549
Phone number: 801-808-2357
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