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1740990886
GRACE INTERNAL MEDICINE, LLC
PRATTVILLE, AL
NPI
1740990886
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Entity Type
Organization
Authorized Contact
VANOSIA SHABLEE FAISON
CEO
334-568-2335
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2022-11-30
Last Update Date
2023-06-12
Business Address
GRACE INTERNAL MEDICINE, LLC
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL 36066-7286
Phone number: 334-568-2335
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Mailing Address
GRACE INTERNAL MEDICINE, LLC
102 MEDICAL CENTER DR STE F
PRATTVILLE, AL 36066-7286
Phone number: 334-568-2335
Copy
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