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Organization
FIBRO CARE CLINIC, LLC
Active
Organization
FIBRO CARE CLINIC, LLC
Active
Other names
Birk Grove Life Centre
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ROMMELMAN (BUSINESS MANAGER)
(270) 415-9575
Entity
Organization
Contact information
Practice address
5150 VILLAGE SQUARE DR, PADUCAH, KY 42001-9060
(270) 415-9575
Mailing address
PO BOX 7208, PADUCAH, KY 42002-7208
(270) 415-9575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1672
KY
225100000X
Physical Therapist
003235
KY
363L00000X
Nurse Practitioner
Primary
4806P
KY
Other
Enumeration date
07/31/2008
Last updated
11/11/2008
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