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1962620005
OPTIMUM CLINICAL CARE, PLLC
CHARLOTTE, NC
NPI
1962620005
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Entity Type
Organization
Authorized Contact
RAYMOND THERTULIEN
Member
704-333-1555
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-04-23
Last Update Date
2020-08-22
Business Address
OPTIMUM CLINICAL CARE, PLLC
2711 RANDOLPH RD SUITE 140
CHARLOTTE, NC 28207-2034
Phone number: 704-333-1555
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Mailing Address
OPTIMUM CLINICAL CARE, PLLC
PO BOX 220504
CHARLOTTE, NC 28222-0504
Phone number: 704-333-1555
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