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1922323948
CLUB HAVEN FAMILY PRACTICE PA
WINSTON SALEM, NC
NPI
1922323948
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Entity Type
Organization
Authorized Contact
MARY J HATLEY
Practice Manager
336-768-9575
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2010-04-01
Last Update Date
2015-04-30
Business Address
CLUB HAVEN FAMILY PRACTICE PA
2801 LYNDHURST AVE
WINSTON SALEM, NC 27103-4109
Phone number: 336-768-9575
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Mailing Address
CLUB HAVEN FAMILY PRACTICE PA
2801 LYNDHURST AVE
WINSTON SALEM, NC 27103-4109
Phone number: 336-768-9575
Copy
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