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Organization

FRIST ANCHOR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW HAGGLUND JR. (OWNER)
(309) 846-5230
Entity
Organization

Contact information

Practice address
2908 GILL ST, BLOOMINGTON, IL 61704-8104
(309) 846-5230
(309) 324-4849
Mailing address
2908 GILL ST, BLOOMINGTON, IL 61704-8104

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
10/08/2024
Last updated
10/08/2024
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