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1780137802
MASCOMA STREET INPATIENT SERVICES LLC
LEBANON, NH
NPI
1780137802
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Entity Type
Organization
Authorized Contact
RUSSELL HARRIS
President
954-838-2371
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2016-07-25
Last Update Date
2019-09-10
Business Address
MASCOMA STREET INPATIENT SERVICES LLC
10 ALICE PECK DAY DR
LEBANON, NH 03766-2900
Phone number: 469-401-2386
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Mailing Address
MASCOMA STREET INPATIENT SERVICES LLC
13737 NOEL RD STE 1600
DALLAS, TX 75240-1374
Phone number: 954-838-2371
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