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1780137760
PROACTIVE MSO, LLC
GREENCASTLE, IN
NPI
1780137760
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Entity Type
Organization
Authorized Contact
JAN HOPKINS
Assoc. Ops Mgr
864-501-0751
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center Primary Care
Enumeration Date
2016-07-26
Last Update Date
2022-03-25
Business Address
PROACTIVE MSO, LLC
1001 S BLOOMINGTON ST
GREENCASTLE, IN 46135-2292
Phone number: 812-645-1892
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Mailing Address
PROACTIVE MSO, LLC
124 ALLAWOOD CT
SIMPSONVILLE, SC 29681-6207
Phone number: 864-501-0751
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