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1801100177
BRIDGE MEDICINE LLC
MAKAWAO, HI
NPI
1801100177
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Entity Type
Organization
Authorized Contact
MIA CARSON
Physician/Owner
808-573-7555
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: HI 13323)
Enumeration Date
2010-07-28
Last Update Date
2010-07-28
Business Address
BRIDGE MEDICINE LLC
1120A MAKAWAO AVE
MAKAWAO, HI 96768-9448
Phone number: 808-573-7555
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Mailing Address
BRIDGE MEDICINE LLC
1120A MAKAWAO AVE
MAKAWAO, HI 96768-9448
Phone number: 808-573-7555
Copy
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