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1952811267
LIVE WELL PRIMARY CARE
RALEIGH, NC
NPI
1952811267
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Entity Type
Organization
Authorized Contact
DATANYA YVETTS BETTS
CEO
919-618-5772
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 5006305)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
LIVE WELL PRIMARY CARE
4822 SIX FORKS RD STE 104
RALEIGH, NC 27609-5269
Phone number: 919-618-5772
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Mailing Address
LIVE WELL PRIMARY CARE
4822 SIX FORKS RD STE 104
RALEIGH, NC 27609-5269
Phone number: 919-618-5772
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