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TRI-STATE HEALING INITIATIVE LLC
Family Medicine Physician
NPI: 1841984036Organization
Specialties, Licenses & Credentials
Family Medicine PhysicianPrimary
Family Medicine
Code: 207Q00000X
Contact & Hours
- Address
- 1619 DIEDERICH BLVD STE D1
RUSSELL, KY 41169 - Phone
- (952) 261-7105
Quick Facts
- NPI
- 1841984036
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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