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1982369401
LIBERTY FIRST HEALTH
VENICE, FL
NPI
1982369401
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Entity Type
Organization
Authorized Contact
TRAVIS L PRACHAR
Owner
941-777-2775
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
LIBERTY FIRST HEALTH
11882 GRANITE WOODS LOOP
VENICE, FL 34292-4116
Phone number: 941-416-8781
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Mailing Address
LIBERTY FIRST HEALTH
11882 GRANITE WOODS LOOP
VENICE, FL 34292-4116
Phone number: 941-416-8781
Copy
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