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1790124097
THE GROVE PRIMARY CARE CLINIC LLC
MIDDLETON, TN
NPI
1790124097
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Entity Type
Organization
Authorized Contact
WILLIAM J WYSOR
President
731-695-3537
Organization Subpart ?
No
Primary Taxonomy
261QR1300X Clinic/Center, Rural Health
Enumeration Date
2013-06-19
Last Update Date
2013-06-19
Business Address
THE GROVE PRIMARY CARE CLINIC LLC
702 S MAIN ST
MIDDLETON, TN 38052-3615
Phone number: 731-376-1311
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Mailing Address
THE GROVE PRIMARY CARE CLINIC LLC
702 S MAIN ST
MIDDLETON, TN 38052-3615
Phone number: 731-376-1311
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