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1992990113
FIDELITY FIRST HEALTH CARE SERVICES, LLC
WILMINGTON, NC
NPI
1992990113
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Entity Type
Organization
Authorized Contact
HENRY JACOBS
Program Director
910-343-1003
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: NC 251S00000X)
Enumeration Date
2007-09-11
Last Update Date
2007-09-11
Business Address
FIDELITY FIRST HEALTH CARE SERVICES, LLC
3825 MARKET ST SUITE 6
WILMINGTON, NC 28403-1453
Phone number: 910-343-1003
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Mailing Address
FIDELITY FIRST HEALTH CARE SERVICES, LLC
3825 MARKET ST SUITE 6
WILMINGTON, NC 28403-1453
Phone number: 910-343-1003
Copy
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