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Organization

GC LEGACY GROUP LLC.

Active
Other names
gc mutual solutions llc
Organization subpart
No

Provider details

NPI number
Authorized official
JESSICA CHARLES (VICE PRESIDENT)
(248) 763-9450
Entity
Organization

Contact information

Practice address
5124 66TH AVE N, BROOKLYN CENTER, MN 55429-1616
(248) 763-9450
Mailing address
5124 66TH AVE N, BROOKLYN CENTER, MN 55429-1616
(248) 763-9450

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/20/2025
Last updated
03/04/2025
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