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Organization

MARRIAGEFORKEEPS WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM E CAMPBELL (PRESIDENT/CEO)
(908) 705-6822
Entity
Organization

Contact information

Practice address
9600 BROAD BRUSH AVE, WAKE FOREST, NC 27587-0004
(908) 705-6822
Mailing address
9600 BROAD BRUSH AVE, WAKE FOREST, NC 27587-0004
(908) 705-6822

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
37FI00176300
NJ

Other

Enumeration date
09/16/2016
Last updated
09/16/2016
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