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1801288568
PROVINCE THERAPEUTICS, LLC
FOREST HILLS, NY
NPI
1801288568
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Entity Type
Organization
Authorized Contact
ASHLEY E PATRICK
Owner
631-827-9189
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2015-03-04
Last Update Date
2017-03-23
Business Address
PROVINCE THERAPEUTICS, LLC
11835 QUEENS BLVD SUITE 400
FOREST HILLS, NY 11375-7200
Phone number: 631-827-9189
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Mailing Address
PROVINCE THERAPEUTICS, LLC
11835 QUEENS BLVD SUITE 400
FOREST HILLS, NY 11375-7200
Phone number:
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