MIRACLE HEALTHCARE LLC

BOLIVAR, TN
NPI1780908228
Entity TypeOrganization
Authorized ContactLATOSHA MESSENGER
Owner
731-658-2885
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2010-03-25
Last Update Date2010-03-25
Business Address
MIRACLE HEALTHCARE LLC
649B W MCNEAL ST
BOLIVAR, TN 38008-2519
Phone number: 731-658-2885
Mailing Address
MIRACLE HEALTHCARE LLC
649B W MCNEAL ST
BOLIVAR, TN 38008-2519
Phone number: 731-658-2885
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