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Organization
MINUTECLINIC VIDEO VIRTUAL CARE NORTH, LLC
Active
Organization
MINUTECLINIC VIDEO VIRTUAL CARE NORTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN PINCINCE (ADMINISTRATOR)
(401) 770-3813
Entity
Organization
Contact information
Practice address
11200 LINCOLN HWY, MOKENA, IL 60448-8208
(866) 389-2727
Mailing address
1 CVS DR, WOONSOCKET, RI 02895-6146
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
04/30/2024
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