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Organization
EVERNORTH DIRECT HEALTH LLC
Active
Organization
EVERNORTH DIRECT HEALTH LLC
Active
Other names
American Outdoor Brand
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH SUE COOLIDGE (FINANCIAL ANALYSIS SENIOR MANAGER)
(623) 277-1170
Entity
Organization
Contact information
Practice address
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
(623) 277-1190
Mailing address
262 COTTAGE ST, SPRINGFIELD, MA 01104-3274
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/11/2019
Last updated
05/03/2021
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