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1891303764
PREMIUM QUALITY NP, LLC
MEDINA, OH
NPI
1891303764
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Entity Type
Organization
Authorized Contact
YATISH GOYAL
Member
330-461-0914
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2020-07-16
Last Update Date
2020-07-16
Business Address
PREMIUM QUALITY NP, LLC
555 SPRINGBROOK DR
MEDINA, OH 44256-3651
Phone number: 330-461-0914
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Mailing Address
PREMIUM QUALITY NP, LLC
5155 BUEHLERS DR STE 108
MEDINA, OH 44256-5388
Phone number: 330-461-0914
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