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1750557641
COPPER RIDGE MEDICAL PA
GEORGETOWN, TX
NPI
1750557641
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Entity Type
Organization
Authorized Contact
ANN NOLEN
Owner
512-930-0363
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: TX G1494)
Enumeration Date
2008-05-01
Last Update Date
2009-06-17
Business Address
COPPER RIDGE MEDICAL PA
7600 HIGHWAY 29 W STE #5
GEORGETOWN, TX 78628-6937
Phone number: 512-930-0363
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Mailing Address
COPPER RIDGE MEDICAL PA
7600 HIGHWAY 29 W STE #5
GEORGETOWN, TX 78628-6937
Phone number: 512-930-0363
Copy
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